[Hiring] Provider Enrollment Coordinator @Intermountain Health

Role Description

Provides ongoing support and coordination as a liaison between the Medical Staff, Medical Directors, and Administration. The position directs the on-going credentialing / privileging process and other administrative functions for the Medical Staff, Medical Director, Administration, and Allied Health Professionals.

Essential Functions

• Participates in enrollment progress update meetings for assigned market.
• Provides status information to stakeholders.
• Keeps detailed notes about enrollment progress in provider enrollment database and distributes information to designated department representatives and credentialing administrators.
• Completes all payer re-credentialing requests and demographic/roster requests.
• Completes out-of-State Medicaid individual and facility enrollments timely and accurately for assigned States.
• Participates in team work sessions for each market to address Epic hold and denial work queues and communicate issues and trends to leadership.
• Collaborates with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes and specific payer types.
• Coordinates all aspects of provider enrollment with commercial and government (Medicare and Medicaid) professional fee payer contracts for an entire market.
• Ensures enrollment is completed timely and accurately.
• Follows-up with managed care organizations and government payers to ensure timely and accurate enrollment.

Qualifications

• High School graduate or equivalent is required.
• One (1) year previous work experience in healthcare.
• Preferred previous work experience in a revenue cycle setting.
• Preferred previous work experience with provider enrollment and/or credentialing.

Requirements

• High School Diploma or Equivalent.
• One year experience in a healthcare revenue cycle setting.

Benefits

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Company Description

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.