Provider Enrollment Coordinator

Jefferson Health; Philadelphia (Philadelphia County); On-site; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare provider is seeking a Provider Enrollment Coordinator to manage physician enrollment with third-party carriers. The role involves ensuring compliance with regulatory requirements, maintaining provider documentation, and supporting the revenue cycle. Ideal candidates will have strong organizational skills and a background in healthcare.

Qualifications

• Healthcare background preferred.
• Experience in physician billing and enrollment processing advantageous.

Responsibilities

• Ensure all physicians are enrolled in appropriate 3rd party carriers.
• Maintain provider dictionary and provide management with status reports.
• Handle provider revalidations for all payers.

Skills

Organizational Skills

Education

High School Diploma

Tools

Excel

Word

IDX

Job description

Join to apply for the Provider Enrollment Coordinator role at Jefferson Health.

Responsibilities include:

1. Ensuring all physicians are enrolled in the appropriate 3rd party carriers.
2. Obtaining necessary provider numbers, signatures, credentialing information, and documentation for approved contracts.
3. Maintaining provider dictionary and providing management with provider status reports.
4. Handling provider revalidations for all payers and CMS regulatory sites.
5. Reviewing network change requests for provider modifications affecting claims reimbursement.
6. Managing system applications and claims edits to add provider numbers and release claims on hold, impacting revenue cycle.

Qualifications include a high school diploma or equivalent; healthcare background preferred, with experience in physician billing and enrollment processing advantageous. Familiarity with CAQH, PECOS, NPPES, Excel, Word, and IDX software is beneficial. Excellent organizational skills are required.