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Job Description
The Provider Enrollment Coordinator performs the daily administrative duties for the Government and Commercial Provider enrollment function. The Provider Enrollment Coordinator works closely with divisions to ensure accurate and complete information is collected and database maintenance and auditing are performed.
The Provider Enrollment Coordinator provides filing for enrollment of healthcare providers with all governmental programs and contracted commercial and managed care health plans. This position establishes and maintains effective communication with colleagues, customer/client base to ensure accurate verification and documentation in expedient and timely manner.
The Provider Enrollment Coordinator develops professional working relationships within the department and environment to facilitate processes.
Licensure, Certification, or Registration Requirements for Hire: N/A
Licensure, Certification, or Registration Requirements for continued employment: N/A
Experience REQUIRED:
Minimum of three (3) years of previous experience in a customer service and/or administrative position
Previous experience using various software applications including MS Office (Access, Word,Excel),e-mail, etc.
Experience PREFERRED:
Previous experience with CMS, URAC, NCQA and JCAHO Standards
Previous credentialing and provider enrollment experience
Education/training REQUIRED:
High School Diploma or equivalent
Education/training PREFERRED:
College level coursework in a business, healthcare or related field
Independent action(s) required:
Organizational skills, proficiency in MS Office Access, Word and Excel, and numerous hospital databases with extreme attention to detail.
Ability to multi-task in stressful and limited time constrained environment.
Supervisory responsibilities (if applicable): N/A
Additional position requirements: N/A
Age Specific groups served: N/A
Physical Requirements (includes use of assistance devices as appropriate):
Physical Lifting 20-50 lbs.
Activities: Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other)
Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking
Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change
EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
VCU Health System Authority (VCU Health) complies with applicable civil rights laws and does not discriminate on the basis of race, sex, color, national origin, religion, sexual orientation, gender identity or expression, age, political affiliation, disabilities, marital status, veteran status, residence, financial status, or any other manner prohibited by law.
