Summary Supports Payer Enrollment Specialists, Manager and Director in the efforts to accomplish and maintain enrollment and/or facility affiliations. Performs initial development of Enrollment Portfolio for newly hired providers and assists in auditing established provider files. This will include performing primary data source verifications and monitoring per established protocols. Creation of provider profile within the Symed/One App Pro database as per established guidelines. Communicates directly with providers, payers, office managers, Operations Directors, and Executive Directors as needed. Generates reports. Performs CAQH attestation. All functions require high levels of accuracy, attention to detail and confidentiality. Performs other duties as assigned.Responsibilities
Maintains current provider profiles in the BMG Credentialing database SyMed OneApp.
Maintains current provider profiles in the CAQH database.
Performs primary data source verification of new providers joining BMG.
Performs initial communication to providers requesting supporting documents required for the completion of payer enrollment.
Completes assigned goals.
Requirements, Preferences and Experience EducationPreferred: Medical Billing and Coding Diploma from an accredited facility.Minimum: High School/GEDExperiencePreferred: 2 years in a medical billing organizationMinimum: 4 years of office experienceSpecial SkillsPreferred: Familiarity with CAQH, NPDP, AMA. Experience with primary data source verification.Minimum: Strong skills in communication both written and verbalTrainingPreferred: Proficient in Microsoft OfficeAbout Baptist Memorial Health Care At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.At Baptist, We Offer:
Competitive salaries
Paid vacation/time off
Continuing education opportunities
Generous retirement plan
Health insurance, including dental and vision
Sick leave
Service awards
Free parking
Short-term disability
Life insurance
Health care and dependent care spending accounts
Education assistance/continuing education
Employee referral program
Job Summary: Position: 17652 - Coordinator-Payer EnrollmentFacility: BMG - Central Business OfficeDepartment: MG CBO CredentialingCategory: Finance and AccountingType: Non ClinicalWork Type: Full TimeWork Schedule: DaysLocation: US:TN:MemphisLocated in the Memphis metro area REQNUMBER: 23990
