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Provider Enrollment Coordinator I

Professional Management Enterprises
United States, Indiana, Indianapolis
9245 North Meridian Street (Show on map)
Feb 03, 2025
The Provider Enrollment Coordinator I manages the Contact Implementation Mailbox and Credentialing Mailbox for all existing and new business.

40 hours per week / 6 Month Contract

$16/hour

Fully Remote


Essential Functions:

  • Perform data entry of all new provider applications utilizing Cactus to facilitate timely onboarding of providers
  • Provide general administrative support for credentialing as needed by assisting with packets for Credentials Committee and coordinating signatures and mailing of letters, etc. as needed
  • Distribute incoming mail and provide queue coverage as needed
  • Complete health partner intake, by researching, triaging, saving request and routing to appropriate mailboxes
  • Perform health partner data entry into Cactus, of all new provider requests (onboarding)
  • Process Credentialing and Cactus provider maintenance requests such as updating NPI, completing terminations, affiliation deletes, Medicaid number updates
  • Adhere to onboarding Service Level Agreements
  • Obtain signature for certified letters as needed for Credentialing Manager and Director
  • Respond to calls and emails from internal/external customers
  • Assist customers while on the Credentialing phone queue
  • Scan credentialing files and attach in Cactus in a timely manner
  • Work on special projects as assigned that include reconciliation projects, processing urgent provider and organization applications, and others
  • Perform any other job related instructions, as requested

Education and Experience:

  • High School Diploma or equivalent
  • Prior credentialing experience/knowledge
  • Medical record or transcription experience preferred
  • Physician office experience preferred

Competencies, Knowledge and Skills:

  • Intermediate computer skills; Microsoft Word, Excel, Access and PowerPoint proficient
  • Ability to use Visio preferred
  • Communication skills
  • Ability to work independently and within a team environment
  • Attention to detail
  • Effective organization and prioritization skills
  • Familiarity of the healthcare field
  • Knowledge of Medicaid
  • Critical listening and thinking skills
  • Uses proper grammar
  • Time management skills
  • Customer service orientated
  • Proper grammar usage
  • Proper phone etiquette
  • Decision making/problem solving skills
  • Filing and organizational skills

Licensure and Certification:

  • None

Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time
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