Provider Enrollment Coordinator

CHILDREN'S HEALTHCARE OF ATLANTA CARDIOLOGY; Atlanta (GA); On-site; USD 42,000 - 56,000; Full time

Job summary

Children’s Cardiology in Atlanta is seeking a Provider Enrollment Coordinator to manage the provider database and serve as the liaison between hospitals and payer groups.

This role requires accuracy, Excel proficiency, CAQH/Medicred familiarity, and strong communication and organizational skills to handle multiple tasks and ensure timely documentation.

Qualifications

• Associates degree preferred or equivalent work experience in a healthcare setting.
• Minimum 2 years of payor enrollment experience preferred.
• Familiarity of payer processes, local, state, and federal requirements.
• Must possess a high level of analytical and problem-solving skills.
• Proficient in Microsoft Office Suite with emphasis on Excel.
• Effective oral and written communication skills required.
• Proficient computer, typing and writing skills with a high degree of accuracy.
• Demonstrated organizational skills, attention to detail, and follow-through discipline.
• Ability to prioritize and handle multiple tasks and projects concurrently.
• Must possess a high level of confidentiality.

Responsibilities

• Maintain provider database files in Excel, Medicred and CAQH (Council for Affordable Quality Healthcare, Inc.).
• Track and maintain current copies of provider documents including expiration dates.
• Evaluate all documentation received and identify any concerns that require follow up action.
• Input data for practitioner files and status reports.
• Review payor website to ensure accuracy of provider data.
• Perform other projects and duties as assigned.

Skills

Analytical skills

Problem-solving

Oral and written communication

Attention to detail

Organizational skills

Multitasking

Confidentiality

Education

Associate degree

Tools

Excel

Medicred

CAQH

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Regular Full-Time Atlanta, GA, US

Children’s Cardiology, a subsidiary of Children’s Healthcare of Atlanta, is comprised of more than 60 pediatric cardiologists providing comprehensive services for patients from before birth to age 21 who have acquired or congenital heart disease. The Provider Enrollment Coordinator position manages the provider database within the organization. This position serves as the contact for providers and acts as a liaison between various hospitals and payer groups.

Minimum Qualifications

• Associates degree preferred or equivalent work experience in a healthcare setting.
• Minimum 2 years of payor enrollment experience preferred.
• Familiarity of payer processes, local, state, and federal requirements.
• Must possess a high level of analytical and problem-solving skills.
• Proficient in Microsoft Office Suite with emphasis on Excel.
• Effective oral and written communication skills required.
• Proficient computer, typing and writing skills with a high degree of accuracy.
• Demonstrated organizational skills, attention to detail, and follow-through discipline.
• Ability to prioritize and handle multiple tasks and projects concurrently.
• Must possess a high level of confidentiality.

Essential Duties and Responsibilities

• Maintain provider database files in Excel, Medicred and CAQH (Council for Affordable Quality Healthcare, Inc.).
• Track and maintain current copies of provider documents including expiration dates.
• Evaluate all documentation received and identify any concerns that require follow up action.
• Input data for practitioner files and status reports.
• Review payor website to ensure accuracy of provider data.
• Perform other projects and duties as assigned.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or any protected category.

As a part of the recruiting and new hire process with Children’s Cardiology, employment history will be verified and ANY false statements, omissions or misrepresentations of your application or resume will result in not being hired by the company.