Certified Woman & Minority Owned

Enrollment Coordinator


Reference Number: KBPACI16

Enrollment Coordinator
experience  Not Disclosed
location  Cumberland, RI
duration  6 Months
salary  Not Disclosed
jobtype  Not Disclosed
Industry  Healthcare
duration  $19.99/hour - $24.99/hour
Job Description

Description:

Enrollment Coordinator

This position is responsible, under the supervision of the Sr. Manager of of the Payer Enrollment Dept.

Duties
Timely completion of Government, Commercial enrollment applications for behavioral health providers and groups.
Develop working knowledge of behavioral health payor policies for multiple states.
Consistently document work assignment progress, enrollment follow -up status, and relevant in-process tasks withing the specified systems and time frames
Update and maintain all necessary government credentialing and revalidations for all providers. Interact with providers via phone or email as needed.
Ability to proficiently communicate and collaborate with Regional Directors, Credentialing team, AR partners to resolve provider denials credentialing related claims issues
Works with Manger of Provider Enrollment when changes are needed for the procedure manual to ensure all payor enrollment processes are documented accurate and effective.
Responsible for all aspects of user online access (i.e Web portals)
Attend conference calls with client and/or team meetings as requested

Experience
Preferred: 1–2 years of experience with government payers (Medicare/Medicaid)
Not required: Candidates without direct experience will be considered if they show willingness to learn
Insurance experience is considered a strong transferable skill


Position Summary
This role is crucial in guiding the company towards scalable solutions that delight our patients and clients, as well as enable the growth of our business. This specific position will primarily focus on behavioral health provider enrollment.

Education
High school diploma or GED required, Bachelors Degree in Business Administration, Marketing, Finance or similar field preferred and have 2+ years of relevant work experience.


Key Responsibilities
Submit initial and revalidation applications for providers entering client
Handle government and commercial payer enrollment
Manage mail-based documentation and workflows

Soft Skills:
Reliable and consistent attendance
Willingness to work on-site
Strong communication and organizational skills


Notes:
M-F 7:30am to 4pm
Onsite as needed


VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

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