Healthcare Payer Enrollment Coordinator

Healthcare Payer Enrollment Coordinator

The Payer Operations and Intelligence Payer Enrollment Coordinator is integral in coordinating successful payer enrollment activities for internal and external clients. This individual will establish, maintain, and communicate payer enrollment strategies, status, and tasks with clients & internal stakeholders, while further managing & reporting on the status of deliverables critical to completing payer enrollment. Furthermore, this individual will serve as a point person for continuing enrollment education & process awareness throughout the Revenue Cycle Services ("RCS") division, ensuring appropriate tools are maximized. The role is part of a tactical team that maintains a strong knowledge of the Company's complete claim, remittance, eligibility, and claim status capabilities, ensuring each is effectively deployed, maintained and supported across the RCS customer base for operational and reimbursement efficiency. Proactive monitoring of payer and industry happenings is also expected to ensure Company awareness of the ever-evolving payer enrollment landscape. Direct collaboration with Clients, Client Services, Production Operations, Marketing, payers, and Company's EDI division is expected, thus strong verbal and written communication is key.

Key responsibilities include collaborating with clients to ensure their enrollment needs are serviced, representing the Payer Operations and Intelligence Team in the New Client Implementation process, working with direct manager to create and disseminate a corporate enrollment document portfolio, managing and administering provider enrollment for electronic claims, remittance and eligibility on behalf of customers, collaborating directly with Company's EDI division on the administration of EDI payer enrollment changes, proactively assessing electronic claim and remittance setup opportunities across the RCS customer base, proactively assessing healthcare enrollment regulations, trends, and applicable compliance items through payer and industry publications, actively participating in the Company's monthly Insurance Committee meeting and other internal EDI meetings, resolving enrollment support events for internal and external customers by means of leveraging internal and payer resources, providing subject matter expertise to Client Services and Production Operations on enrollment transactions, acting as a liaison with the Company's EDI division, and other duties, as assigned.

Education/experience preferred includes a Bachelor degree in Healthcare, Business or equivalent experience, excellent communication, analytical, and time management skills, detail oriented with strong organizational and multi-tasking skills, advanced in Microsoft Office applications, ability to assess task priorities and work independently, experience in the electronic enrollment landscape, experience with one of more of Quadax's revenue cycle management applications (HARP, PAS, Xpeditor), and experience with medical billing (CMS1500, UB04).