Sr. Assistant, Provider Enrollment Coordinator

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Ascension Connect LLC BenefitsPaid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your communityBenefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer. ResponsibilitiesComplete the day to day enrollment operations for all providers. Maintains and communicates provider enrollment information. Populate necessary enrollment fields in MD Staff for newly credentialed providers.

Ensure the provider file from ACVS meets managed care criteria. Send newly credentialed rosters to all delegated payors. Complete and submit CAQH applications to all non delegated payors. Process provider data updates, changes and terms in MD Staff and submit to payors monthly. Follow up with payors to ensure new providers are loaded timely and correctly. Run rosters for all delegated audits. Manage payor enrollment/EPriv in MD Staff. Enroll providers in Medicare/MCD. Revalidation of Medicare/Medicaid numbers. Apply for Tricare certification. Complete non-Ascension hospital privileges applications for AMG providers.

Creates, maintains and audits provider database, including contract relationships, specialty data and demographic information. Communicates plan information alerts, including policy changes, to the provider panel. Stays abreast of regulatory, legal and legislative issues and requirements and communicates changes. RequirementsEducation: High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable. Additional PreferencesAdditional Preferences: 1-2 years of Health Plan credentialing experience, preferred.

#ACVSWhy Join Our TeamAscension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension.

Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity EmployerAscension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) (https: //www. eeoc. gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRights_10_20.

pdf) poster or EEO Know Your Rights (Spanish) (https: //www. eeoc. gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRightsSp_10_20. pdf) poster. As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension. Pay Non-Discrimination Notice (https: //www. dol. gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.

pdf)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. E-Verify StatementThis employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information. E-Verify (https: //e-verify. uscis. gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES. pdf)If you have questions about this posting, please contact support@lensa. com