Payor Enrollment Coordinator

Ann & Robert H. Lurie Children's Hospital of Chicago; Chicago (IL); On-site; USD 28,000 - 41,000; Full time

Benefits offered by this job

Medical, dental and vision insurance

Employer paid group term life and long

Disability insurance

HSA contributions by employer

Flexible Spending Accounts

PTO and holidays

403(b) with 5% employer match

Job summary

Ann & Robert H. Lurie Children’s Hospital of Chicago is seeking a Provider Enrollment Specialist to build and maintain enrollment services for the Pediatric Faculty Practice Plan, focusing on government and commercial payer enrollment across states.

You will coordinate documentation, communicate enrollment issues to managers, load new practitioner data in MSOW, and collaborate with providers, payers, Revenue Cycle, Credentialing, HR and service lines.

Qualifications

• High school diploma or equivalent; bachelor's degree preferred.
• At least 3 years’ experience with research activities, preferably within healthcare setting.
• Experience with Illinois IMPACT, PECOS, NPPES and MCO payer activity preferred.
• Strong analytical, communication, and computer/database skills.
• Ability to work independently and research credentialing topics.

Responsibilities

• Complete complex government and commercial payer enrollment applications across states.
• Update and maintain documents for clients and physicians.
• Communicate credentialing issues to client service managers, clients, and providers.
• Load 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 Revenue Cycle, Credentialing, HR and service line leadership on related topics.
• Other duties as assigned.

Skills

Analytical skills

Communication skills

Computer/database skills

Independent work

Credentialing research

Education

High school diploma

Bachelor's degree preferred

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

Benefits

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 fairly, 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 information, or any other characteristic protected by law.

For questions about how to request an accommodation please contact: [e-mail]

AI Notice

Lurie Children’s utilizes certain AI-enabled features within our recruiting platform to support candidate engagement and assist recruiters in identifying and prioritizing applicants whose experience aligns with job requirements. All employment decisions are made by individuals.

It is a civil rights violation with respect to recruitment, hiring, promotion, or employment for an employer to use artificial intelligence that has the effect of subjecting employees to discrimination on the basis of protected classes under the Illinois Human Rights Act or to use zip codes as a proxy for protected classes.

For questions about the use of artificial intelligence in this process or any additional support, please contact: [e-mail]