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.

EDUCATION

Preferred: Medical Billing and Coding Diploma from an accredited facility.
Minimum: High School/GED

EXPERIENCE

Preferred: 2 years in a medical billing organization
Minimum: 4 years of office experience

SPECIAL SKILLS

Preferred: Familiarity with CAQH, NPDP, AMA. Experience with primary data source verification.
Minimum: Strong skills in communication both written and verbal

JOB SUMMARY:

Position: 5348 - Coordinator-Payer Enrollment
Facility: BMG - Central Business Office
Department: MG CBO Credentialing
Category: Finance and Accounting
Type: Non Clinical
Work Type: Full Time
Work Schedule: Days
Location: US:TN:Memphis
Located in the Memphis metro are

• 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.