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Senior Payer Enrollment Coordinator
AscensionSenior Payer Enrollment Coordinator managing provider credentialing and payer enrollment for Ascension, a nonprofit Catholic health system. Maintaining provider data, submitting applications, and handling Medicare/Medicaid revalidation.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in payer enrollment processes, including Medicare and Medicaid, while maintaining compliance with regulatory changes. Proficient in managing provider databases and utilizing MD Staff for efficient data management and communication.
Highest-signal resume keywords
Payer EnrollmentMedicare EnrollmentMedicaid EnrollmentMD StaffRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider Database ManagementCredentialingCAQH ApplicationsData ProcessingManaged Care Experience
Soft Skills
Team-OrientedExcellent Communication SkillsHighly OrganizedDependable
Tools & Technologies
ExcelGoogle Sheets
Certifications & Qualifications
Professional Licensure/Certification
Industry Keywords
Managed CareProvider EnrollmentRegulatory ChangesPayer Communication
About the role
Key responsibilities & impact- Populate MD Staff for new providers and ensure ACVS files meet managed care criteria
- Submit credentialed rosters to delegated payers
- Complete and submit CAQH payer applications for non-delegated payers
- Process and submit monthly provider data updates and changes in MD Staff
- Follow up with payers for timely loading and run delegated audit rosters
- Manage payer enrollment/EPriv in MD Staff
- Handle Medicare/Medicaid enrollment and revalidation
- Create, maintain, and audit the provider database
- Communicate plan information alerts
- Stay abreast of and communicate regulatory changes
Requirements
What you’ll need- High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
- Required professional licensure/certification can be used in lieu of education or experience, if applicable
- 2 years of payer enrollment with managed care experience preferred
- Team-oriented approach
- Excellent written and verbal communication skills
- Highly organized and dependable
- Computer savvy and fluent with spreadsheets, Excel and Google Sheets
- MD Staff preferred
Benefits
Comp & perks- Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
- Employer-matched 403(b)
- Planning and hardship resources
- Disability and life insurance
- Pro-rated paid time off (PTO) and holidays
- Ascension-paid tuition (Vocare)
- Tuition reimbursement
- Ongoing professional development and online learning
- Employee Assistance Program
- Counseling and peer support
- Spiritual care and stress management resources
- Parental leave
- Adoption assistance and family benefits
- Optional legal and pet insurance
- Transportation savings