Credentialing and managed care enrollment coordinator

Job description

Job Description Summary Manages credentialing and enrollment process with all government and commercial payers Entity: Medical University Hospital Authority (MUHA) Worker Type: Employee Worker Sub-Type​: Regular Cost Center: CC001103 SYS - Corp Managed Care Pay Rate Type: Salary Pay Grade: Health-26 Scheduled Weekly Hours: 40 Work Shift: Job Description: Ensures that appropriate medical staff privileges are received and billing enrollment process is completed for all new providers and locations. 25% Manages the credentialing and enrollment process with all governmental and commercial payors in a timely fashion on behalf of all MCP providers. 25% Acts as liaison to assist in resolving contract implementation and payment issues with all contracted carriers. 25% Acts as liaison for patient accounting with managed care payors for all provider enrollment-related claims issues and takes appropriate action to implement solutions to enrollment-related claims issues. Ensure providers are appropriately categorized for payment purposes with all payors. This process will include completing new provider applications, ensuring that provider credentialing is received and processed timely by the m...