Payor Enrollment Coordinator

luriechildrens; Chicago (IL); On-site; USD 27,000 - 42,000; Full time

Benefits offered by this job

Medical, dental and vision insurance

403(b) with employer match

Paid Time Off and holidays

Parental leave

Job summary

Ann & Robert H. Lurie Children's Hospital of Chicago is seeking a dedicated enrollment specialist to manage provider enrollment with government and commercial payers across states.

The role requires coordinating with multiple departments, maintaining documentation, and ensuring timely enrollment for physicians in the practice plan via MSOW data handling.

Qualifications

• Must have a high school diploma or equivalent; bachelor's degree preferred.
• Minimum of 3 years' experience with research activities, preferably in healthcare.
• Preferred experience with Illinois IMPACT, PECOS, NPPES and MCO payer activity.
• Strong analytical skills and ability to perform statistical analysis.
• Excellent communication and computer/database skills; experience with Crystal Reports.

Responsibilities

• Complete complex government and commercial payer enrollment applications for all states in a timely manner.
• Update and maintain documents for assigned clients and physicians.
• Communicate credentialing-related issues to clients and providers.
• Assist with initial loading of demographic data of new Practitioners in MSOW.
• Record, track, and report enrollment status to stakeholders.
• Collaborate with providers, payers, and internal departments on enrollment issues.
• Coordinate with Providers, Revenue Cycle, FPP Physicians, FPP Credentialing, HR and leadership.

Skills

Payer enrollment

Credentialing

Data management

Analytical skills

Communication skills

MSOW data handling

Education

Bachelor's degree preferred

High school diploma or equivalent

Tools

Crystal Reports

Job description

Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Location

680 Lake Shore Drive

Job Description

General Summary:

Build and maintain the enrollment of providers for Children's Hospital of Chicago Faculty Practice Plan, including but not limited to the implementation, coordination, and maintenance of the Managed Care Payor Enrollment processes.

Essential Job Functions:

• Responsible for the timely completion of complex government and commercial payer enrollment applications for all states
• Updating and maintaining all necessary documents for assigned clients and physicians.
• Ability to proficiently communicate credentialing related claims issues to client service managers, clients, and providers.
• Also assists the SCC with the initial loading of demographic data of all new Practitioners in MSOW
• Records, tracks, and reports complete status of enrollment to all stake holders internal and external.
• Collaborate with providers, payers and internal departments on issues related to the provider enrollment process.
• Continual collaboration with Providers, Revenue Cycle, FPP Physicians, FPP Credentialing, Human Resource and Service line leadership.
• Other duties as assigned.

Knowledge, Skills and Abilities:

• Must possess a high school diploma or equivalent. Completion of bachelor's degree preferred.
• Minimum of 3 years' experience with research activities, preferably within healthcare setting.
• Preferred prior experience with Illinois IMPACT, PECOS, NPPES and MCO payer activity.
• Strong analytical skills and ability to perform statistical analysis.
• Excellent communication skills.
• Excellent computer/database skills including previous experience using Crystal Report Writer or ability to learn quickly to assume these functions.
• Ability to work independently.
• Ability to research quality, credentialing and managed care topics.

Pay Range

$19.50-$30.23 Hourly

At Lurie Children's, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children's offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs.

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

• Medical, dental and vision insurance
• Employer paid group term life and disability
• Employer contribution toward Health Savings Account
• Flexible Spending Accounts
• Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
• 403(b) with a 5% employer match

Various voluntary benefits:

• Supplemental Life, AD&D and Disability
• Critical Illness, Accident and Hospital Indemnity coverage
• Tuition assistance
• Student loan servicing and support
• Adoption benefits
• Backup Childcare and Eldercare
• Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
• Discount on services at Lurie Children's facilities
• Discount purchasing program

There's a Place for You with Us

At Ann & Robert H. Lurie Children's Hospital of Chicago and its affiliates (collectively "Lurie Children's"), we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds, skills, and viewpoints - recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fair, appreciate differences, and make meaningful connections that foster belonging and allyship. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.

Lurie Children's and its affiliates are equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic in