Provider Enrollment Coordinator I

Job Summary:

The Provider Enrollment Coordinator I manages the Contact Implementation Mailbox and Credentialing Mailbox for all existing and new business

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

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.