Healthcare Provider Credentialing Analyst I

Mount Sinai Health System; New York (NY); On-site; USD 39,000 - 51,000; Full time

Job summary

The Provider Enrollment Analyst (I) at Mount Sinai Health System coordinates provider enrollment and payer credentialing with Medicare and Medicaid for contracted FPA providers. The role manages open enrollment tasks to ensure providers are reimbursed and supports data analysis and special projects.

You will interact with CMS, complete PECOS enrollment activities, monitor enrollment status, and assist in revalidation and updates to enrollment data.

Qualifications

• Two years of healthcare enrollment or credentialing experience required.
• Experience with Medicare/Medicaid enrollment processes.
• Customer service experience in a revenue-cycle context.

Responsibilities

• Enrolls and terminates providers with CMS and other government programs by completing 855 series forms.
• Tracks status of enrollment forms until final approval.
• Files provider ID numbers and updates systems as needed.
• Assists in setup of 837P/835P EDI transactions and EFT.
• Monitors edits and denials related to enrollment and follows up on claims until resolved.
• Assists in revalidation and PECOS enrollment processes.

Skills

Provider enrollment

Credentialing experience

Revenue cycle knowledge

Customer service

Tools

PECOS enrollment system

Job description

The Provider Enrollment Analyst (I) at Mount Sinai Health System coordinates provider enrollment and payer credentialing with Medicare and Medicaid for contracted FPA providers. The role manages open enrollment tasks to ensure providers are reimbursed and supports data analysis and special projects.

You will interact with CMS, complete PECOS enrollment activities, monitor enrollment status, and assist in revalidation and updates to enrollment data.