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Enrollment Coordinator

Upstate Medical University

Job Summary Coordinates the enrollment of physicians and midlevel withinsurance plans on behalf of MedBest clients Stores and maintains current data and enrollment history (hard copy, online data source and computer database) for clients/physicians, toinclude but not limited to current CVs, licenses, identification numbers,effective dates, etc. Generates enrollment/re-enrollment packages or electronic submissionwith required documents for physicians and plans as determined by clientmanagement; obtains physician signature and disclosure information andsubmits packages to plans; follows up and provides additional informationand/or documentation as necessary Coordinates the enrollment of physicians and midlevel in the delegated plans with UUMAS Facilitates the clients consistent participation or non-participation with health plans based on clients instruction; initiates contract terminationwhen directed by client Promptly notifies physicians, client management and client billingdepartment of participation status (acceptance, rejection, I.D. numbers,effective date, etc.) in plans Notifies plans of changes in physician status (i.e. termination, retirement,liability insurance cancellation) May be required to provide reports to clients showing current physicianinsurance status Receives correspondence, faxes, telephone calls from insurance carriers forclients; prioritizes and distributes information to clients as necessary Facilitates and participates in communication between clients and insurance companies to resolve problems surrounding physician enrollment and claimsprocessing Performs other duties as assigned/request Minimum Qualifications Associates Degree or pertinent college level courses and three years of progressively responsible experience required. At least two years experience in a medical environment or health insurance office required. Knowledge, Skills, Abilities required Excellent organizational and communication skills required. Ability to maintain a high level of confidentiality required. Excellent typing/word processing skills required. Working Conditions/Physical Demands (quantified) Normal office conditions. Must be able to sit for prolonged periods of time. Extensive keyboard use is required. Ability to use a telephone and fax with proficiency. May be required to lift up to 50 pounds. Alternative to Minimum Qualifications Will consider an equivalent combination of education and experience. Preferred Qualifications:Work Days: Monday - Friday 8:00 am - 4:30 pm Message to Applicants Our benefits package includes health, dental and vision insurance, eligibility for employer 401k funding after 1 year (3% quarterly/5% annual on vesting schedule), tuition reimbursement, generous paid time off, including vacation and personal time, paid sick leave, holidays and floating holidays

G5: $21.07 - $35.22

Please note the salary information shown is a general guideline only. Salaries are based upon candidate skills, experience, and qualifications, as well as internal equity, market and business considerations. #J-18808-Ljbffr SUNY Upstate Medical University

Vacancy posted 4 days ago
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