Apr 09, 2019
We Are Hiring Credentialing and Enrollment Coordinator Managed Care Contracting Ascension Borgess Hospital - Kalamazoo, MI Full-Time Day 40 Hours Weekly 8am - 4:30pm, Monday-Friday Why Join Ascension? Based in Kalamazoo, Borgess provides care for nearly 1 million people annually in cardiac, neurologic, orthopedic, vascular and bariatric services, among others. We are one of the region's largest health systems and employers and have been serving as part of Ascension since 1999. What You Will Do As an Associate with Ascension Borgess, you will have the opportunity to process credentialing and re-credentialing applications of health care providers. Responsibilities: Reviews applications, prepares verification letters and maintains database. Contacts medical office staff, licensing agencies, and insurance carriers to complete credentialing and re-credentialing applications. Completes administrative duties, such as ensuring state medical licenses are up-to-date and checking the status of new license applications. Ensures compliance with accreditation standards and legal requirements related to the Medical staff. The Credentialing and Enrollment Coordinator is responsible for completing tasks to successfully credential/enroll all Borgess Health providers with insurance carriers, properly affiliate them to appropriate managed care contracts, and facilitate addition and maintenance of provider data in the practice management billing system (Athena). Coordinator is required to work collectively with practitioners and provider practices to assure maintenance of enrollment as mandated by insurance carriers through recredentialing, revalidating, and reattesting. In addition, he/she collaborates with revenue cycle support departments to assure proper billing for services and troubleshoot claims issues. The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. What You Will Need Education: High School Diploma or Equivalent (GED) required. Associate's or Bachelor's degree in Business preferred or Three (3) years of related job experience preferred. Certified Professional Specialist preferred . Equal Employment Opportunity Borgess Health is an equal opportunity employer, dedicated to the nondiscrimination in employment on the basis of race, color, age, religion, sex, national origin, handicap, disability, veteran or marital status. Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
Ascension Kalamazoo, MI, USA Full-time