Job ID:
247747
Payer Enrollment Coordinator, Department of Medicine
University at Buffalo, The State University of New York
The UBMD Internal Medicine is seeking applicants for a full-time Payer Enrollment Coordinator. The Payer Enrollment Coordinator is responsible for credentialing of providers with insurance carriers, as well as timely follow-up and tracking status of provider malpractice applications, licenses, and DEA. They are responsible for:
- Overall oversight of payer enrollment in at least sixteen (16) different insurance companies to ensure that their clinical services can be billed for.
- Initial credentialing of providers with insurance carriers, as well as recredentialing in a timely manner.
- Process initial and annual provider malpractice applications. Performs appropriate and timely database management of applications in order to cancel or update, when applicable.
- Maintains updated CAQH files, IntelliApp files, and provider rosters.
- Communicates with insurance carriers to ensure that all provider information is accurate and current.
- Coordinates credentialing with Kaleida, ECMC and other entities as needed.
- Enroll providers in Pecos and ePaces.
- Works with human resources department for onboarding as it relates to new provider credentialing.
- Ensures that ETIN’s are updated with Medicaid and ePaces. Submit group/provider Medicaid and Medicare revalidation when due.
- Maintains confidentiality and adheres to all HIPAA privacy rules and policies.
- Communicate with providers to enlist the proper documentation needed for credentialing and any issues that arise with the payers.
- Communicates with the billing department to resolve issues, as needed.
- Communicate with division/site designees regarding licenses and DEA information in order to ensure all records are updated in EMR.
We are committed to a professional environment that is positive, respectful, cohesive, and supportive of cultural and individual differences in the service of our clinical and academic goals.
Additional Information:
- Learn more about what it looks like to be a part of the University at Buffalo community.
University at Buffalo is an affirmative action/equal opportunity employer and, in keeping with our commitment, welcomes all to apply including veterans and individuals with disabilities.
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