Provider Enrollment Analyst I - Credentialing

Mount Sinai Morningside; New York (NY); On-site; USD 59,000 - 77,000; Full time

Job summary

Mount Sinai Health System seeks a Provider Enrollment Analyst (I) to coordinate enrollment and credentialing for contracted providers with Medicare and Medicaid. This role ensures providers are reimbursed by managing open enrollment tasks, completing CMS forms, and performing data analysis and special projects as assigned.

Responsibilities include enrolling with CMS and government programs, tracking enrollment status, handling PECOS enrollment, and supporting audits.

Qualifications

• Two years minimum of healthcare experience including Medicare or Medicaid enrollment or credentialing, with at least one year in revenue cycle and direct customer service.

Responsibilities

• Enrolls and terminates providers with CMS and other government programs by completing 855 series forms and gathering credentials for enrollment.
• Tracks status of enrollment forms until final approval is received.
• Files provider ID numbers and performs system updates as appropriate.
• Assists with PECOS enrollment, revalidation, and online enrollment processes.
• Monitors enrollment-related edits and payer denials and follows up on claims until resolved.
• Supports internal audits and prepares data reports or reconciliations as directed.

Skills

Healthcare experience

Medicare/Medicaid enrollment

Revenue cycle

Customer service

Job description

Mount Sinai Health System seeks a Provider Enrollment Analyst (I) to coordinate enrollment and credentialing for contracted providers with Medicare and Medicaid. This role ensures providers are reimbursed by managing open enrollment tasks, completing CMS forms, and performing data analysis and special projects as assigned.

Responsibilities include enrolling with CMS and government programs, tracking enrollment status, handling PECOS enrollment, and supporting audits.