Sr. Assistant, Provider Enrollment Coordinator

JOB DESCRIPTION Details Department: Credential and Payor Enrollment Schedule: Full-Time, 8-hour Day Shift, Monday-Friday, Remote Facility: Ascension Connect LLC Salary: $38,937.60 - $52,686.40 (per year) Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer. Responsibilities Complete the day to day enrollment operations for all providers. Maintains and communicates provider enrollment information. Populate necessary enrollment fields in MD Staff for newly credentialed providers. Ensure the provider file from ACVS meets managed care criteria. Send newly credentialed rosters to all delegated payors. Complete and submit CAQH applications to all non delegated payors. Process provider data updates, changes and terms in MD Staff and submit to payors monthly. Follow up with payors to ensure new providers are loaded timely and correctly. Run rosters for all delegated audits. Manage payor enrollment/EPriv in MD Staff. Enroll providers in Medicare/MCD. Revalidation of Medicare/Medicaid numbers. Apply for Tricare certification. Complete non-Ascension hospital privileges applications for AMG providers. Creates, maintains and audits provider database, including contract relationships, specialty data and demographic information. Communicates plan information alerts, including policy changes, to the provider panel. Stays abreast of regulatory, legal and legislative issues and requirements and communicates changes.

• Complete the day to day enrollment operations for all providers.
• Maintains and communicates provider enrollment information.
• Populate necessary enrollment fields in MD Staff for newly credentialed providers.
• Ensure the provider file from ACVS meets managed care criteria.
• Send newly credentialed rosters to all delegated payors.
• Complete and submit CAQH applications to all non delegated payors.
• Process provider data updates, changes and terms in MD Staff and submit to payors monthly.
• Follow up with payors to ensure new providers are loaded timely and correctly.
• Run rosters for all delegated audits.
• Manage payor enrollment/EPriv in MD Staff.
• Enroll providers in Medicare/MCD.
• Revalidation of Medicare/Medicaid numbers.
• Apply for Tricare certification.
• Complete non-Ascension hospital privileges applications for AMG providers.
• Creates, maintains and audits provider database, including contract relationships, specialty data and demographic information.
• Communicates plan information alerts, including policy changes, to the provider panel.
• Stays abreast of regulatory, legal and legislative issues and requirements and communicates changes.

• Education: High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.

• Paid time off (PTO)
• Various health insurance options & wellness plans
• Retirement benefits including employer match plans
• Long-term & short-term disability
• Employee assistance programs (EAP)
• Parental leave & adoption assistance
• Tuition reimbursement

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