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Coordinator Provider Enrollment Revenue Management Center

Location: Buffalo, NY, United States

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Job Description

Facility: Administrative Regional Training Cntr

Shift: Shift 1

Status: Full Time FTE: 1.000000

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: No

Work Schedule: Days

Hours:

Mon-Fri 8-4

Summary:

The Revenue Management Center supports the revenue cycle for all of the acute care sites and related departments, service lines and business units organized within Mercy Hospital, Sisters of Charity Hospital including the St. Joseph Campus, Mount St. Mary's Hospital and Kenmore Mercy Hospital as well as the Nursing Home Long Term Care and Sub-Acute Rehab facilities.

This position is responsible for completing all payer related credentialing applications for all employed physicians, mid-level practitioners, and facility based requirements. Also provides Administrative support to the Leadership Team of Revenue Management Center as needed.

Responsibilities:

EDUCATION
  • Associates degree required
  • Seven (7) years of experience in provider credentialing/enrollment in lieu of above degree
EXPERIENCE
  • Payer credentialing experience preferred
  • Medical practice operations experience
  • Strong knowledge of medical billing and both government and commercial payer requirements
KNOWLEDGE, SKILL AND ABILITY
  • MS office expertise, most notably Word, Excel, PowerPoint
  • Excellent written and oral communication skills
  • Excellent organizational skills
  • Ability to work well with others
  • Dependable in both production and attendance
  • Self-motivated
  • Maintain and implement best practice credentialing policies and procedures
  • Ensure that all necessary licenses and credentials are verified and updated
  • Participates in performance improvement activities on all aspects of the insurance enrollment and credentialing process
  • Adheres to the confidentiality policy
  • Identifies needed resources/references/supplies and provides recommendations to the manager

WORKING CONDITIONS
  • Normal heat, light space, and safe working environment; typical of most office jobs
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