Payer Enrollment-Network Coordinator

UnityPoint Health; West Des Moines (IA); Remote; USD 80,000 - 100,000; Full time

Job summary

A Midwest healthcare organization is looking for a Payer Enrollment-Network Coordinator to prepare and submit payer credentialing applications. This remote role prefers candidates from IA, IL, or WI. The ideal candidate should have experience in payer credentialing and possess a high school diploma. This position offers competitive benefits including paid time off and tuition reimbursement.

Benefits

Paid time off

Parental leave

401K matching

Employee recognition program

Tuition reimbursement

Pet insurance

Qualifications

• At least 2 years of experience in payer credentialing or related fields.
• Knowledge of managed healthcare industry and regulatory standards.

Responsibilities

• Monitor credentialing applications and perform follow-up.
• Maintain information in the credentialing database.
• Serve as a resource for payer credentialing questions.

Skills

Experience in payer credentialing

Customer service

Proficiency in Microsoft Office Suite

Education

High school diploma or GED

Associate's degree or higher

Job description

Overview

Shift: Monday-Friday, 7:00 a.m. - 3:30 p.m

Location: Remote, with strong preference for candidates residing within our geographical footprint of IA, IL, or WI

We're seeking a Payer Enrollment-Network Coordinator to join our team! In this role, you'll prepare and submit payer credentialing applications to payers on behalf of providers and clients that contract for the service.

Benefits and Perks

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few:

• Expect paid time off, parental leave, 401K matching and an employee recognition program.

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

• Monitor status of credentialing applications, performing follow up action as necessary
• Maintain information in the provider credentialing database
• Serve as a resource for questions/issues related to payer credentialing
• Maintain current provider credentialing documents (i.e. licensure, certification)
• Maintain compliance with CLIA, OSHA, Safety and Risk Management guidelines
• Monitor environmental conditions in order to secure protected health information

Qualifications

Education

• High school diploma or GED Required
• Associates degree or higher preferred.

Experience

• Minimum of 2 years of experience in the field of payer credentialing and enrollment, provider billing services, or health clinic customer service positions.
• Knowledge of the managed healthcare industry.
• Proficient in Microsoft Office Suite.
• Knowledge of regulatory agency standards (i.e. NCQA, URAQ, JCAHO, etc)