Network Contract & Provider Enrollment Coordinator

  • AB2 Consulting Inc
  • Harrisburg, PA, USA
  • Nov 19, 2020
Full time Education

Job Description

Job Title: Network Contract & Provider Enrollment Coordinator

Job Location: Harrisburg, PA

Job Type: Contract

Duties:

  • Network Contract and Provider Enrollment Coordinator The Network Contract and Provider Enrollment Coordinator is responsible for coordinating the provider application processing functions and related activities for the Plan.
  • Coordinates all written and telephonic communication to physicians, hospitals and ancillary providers to assure all provider information is complete for presentation to Corporate Credentialing Dept.
  • This verification includes confirmation of the State data as required by mandate.
  • Is an intermediary between the AE's, providers, State, Plan, Provider Data Management and other relevant corporate functions, ensuring accuracy of the application and provider set-up functions.
  • These activities may include delegations, provider set-up functions, corrections and Network system QA as appropriate on an ongoing basis for the life of the contract.

Skills:

  • 1 - 2 years' experience in member, provider and/or finance operations in a healthcare or MC organization.
  • 1 - 2 years in customer service environment.
  • 1 - 2 years Medicaid experience

Regards,

Ajith Kumar - Technical Recruiter

AB2 Consulting Inc, 3501 Algonquin Rd, Suite 530, Rolling Meadows, IL, 60008

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Linkedin - linkedin.com/in/ajithab2

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