Provider Enrollment Coordinator III (Eastern United States resident)

Geisinger

Completely RemoteFull TimeHealthcare & Telemedicine
Posted Today

Job description

Responsibilities

  • Oversee enrollment activities, provider record maintenance, and Third Party Payer relationships
  • Provide direction to enrollment staff and ensure adherence to accreditation and service standards
  • Develop and maintain enrollment function strategy and policies
  • Act as the primary compliance resource for regulatory and accreditation agency programs
  • Coordinate enrollment data for regulatory audits and primary source verification
  • Develop organizational and provider enrollment criteria based on quality and regulatory metrics
  • Process initial and re-enrollment for providers and organizational providers

Requirements

  • High School Diploma or Equivalent (GED)
  • Minimum of 5 years of related work experience
  • Proficiency in computer literacy and communication
  • Ability to handle confidential information and work within a team

About the Company

Geisinger is committed to making better health easier for the more than 1 million people it serves. Founded more than 100 years ago, the system includes nine hospital campuses, a 550,000-member health plan, two research centers, and the Geisinger Commonwealth School of Medicine.

Skills & tools

Compliance

What the team is looking for

Use this list as a quick fit check before you apply.

  1. 01High School Diploma or GED
  2. 025+ years of related work experience
  3. 03Computer literacy
  4. 04Knowledge of HR policies
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