Payor Enrollment Coordinator
Select Medical
**Overview**
Select Medical Outpatient Division
**Payor Enrollment Coordinator**
3820 American Drive
Plano, Texas 75075
**Full Time**
**(On-Site/Hybrid/Remote option available for right candidate)**
**M-F 7:30am-4:00pm**
**Starting pay $20/hour**
**Diverse Health Benefit Packages, PTO & EID Leave, 401K company match & more**
*Are you an individual looking to continue your career on the business side of healthcare?
* Have you worked in credentialing, payor enrollment, or do you have other comparable healthcare experience?
*Do you want to work for a company that is devoted to helping others and achieving outcomes that improve quality of life?
**Then this might be an opportunity for you!**
**Watch the videos to see what it is like to work for Select Medical.**
**Responsibilities**
+ Manage all phases of the Non-Delegates Payor Enrollment process for providers and facilities.
+ Make determinations as to why claims are rejected and partner with external sources to determine the best resolution.
+ Partner with internal resources (Contracting department) to determine the payor credentialing requirements.
+ Understand all payors and their requirements in order to build relationships within a specific territory so as to know what questions to ask and from whom to get resolutions.
+ Review all contracting for accuracy and partner with payors to ensure the proper credentialing status.
+ Complete Payor Enrollment and re-credentialing for facilities and practitioners with all applicable, contracted, Non-Delegated Payors.
+ Work with CVO Coordinators for the collection of all payor enrollment requirements such as signature pages, state licenses, proof of liability, etc.
+ Complete and track all health plan credentialing and enrollment for practitioners and facilities.
+ Serve as a company source of information regarding the status of non-delegated payor credentialing activity.
+ Maintain the credentialing database with relevant payor tracking and data.
+ Monitor provider and facility status in both internal and external data systems relating to non-delegated payor enrollment.
+ Maintain all payor enrollment portals such as CAQH, with current information, such as contact information, licensure effective dates and current certificate of liability data.
**Qualifications**
**Minimum Requirements:**
+ At least 2 years experience in the credentialing field or related healthcare field.
+ Proficient in Windows (Word, Excel, and Access).
+ Ability to be professionally assertive with both internal and external partners to be influential in finding resolutions.
+ Strong oral and written communication skills with the ability to interact professionally and positively within all levels of the organization.
+ Detail oriented with good organizational skills and the ability to maintain accuracy while meeting deadlines and production requirements.
+ Professional with the ability to work well independently as well as collaboratively with a team.
**Preferred Qualifications:**
+ Experience working in a hospital and/or with Medicare.
+ Experience in payor enrollment, facility enrollment and Medicare/Medicaid.
+ Knowledge of credentialing processes, terminology and NCQA standards.
+ Strong analytical skills, including process improvement and problem resolution.
**Additional Data**
Select Medical strives to provide our employees with work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors. Other benefits include:
+ An extensive and thorough orientation and training program.
+ Develop collaborative relationships with multiple departments on campus.
+ Paid Time Off (PTO) and Extended Illness Days (EID).
+ Health, Dental, and Vision insurance; Life insurance; Prescription coverage.
+ 401(k) retirement plan with company match.
+ Short and Long Term Disability.
+ Personal and Family Medical Leave.
_Equal Opportunity Employer/including Disabled/Veterans_
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**Job ID** _334035_
**Experience (Years)** _2_
**Category** _Medical Billing_
**Street Address** _3820 American Dr._
**Min** _USD $20.00/Hr._
**Max** _USD $24.00/Hr._
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