TridentCare · 1 month ago
Provider Enrollment Coordinator
21152, MD, US
Full-time
Onsite
Mid LevelTridentCare is a company focused on healthcare services, and they are seeking a Provider Enrollment Coordinator to manage and oversee enrollment processes. The role involves organizing work assignments, ensuring compliance with policies, and collaborating with various departments to maintain necessary certifications and licenses.
Health CareHealth DiagnosticsHospitalMedical Device
Responsibilities
Schedules and organizes work assignments. Prioritizes and delegates job tasks to ensure timely completion. Ensure work is performed accurately and efficiently
Ensure department response to verbal and written internal or external customer inquiries within policy and procedure timeline
Assists in the review, development and maintenance of departmental policies and procedures, and advises on the development of overall guidelines and best practices
Implement policies and procedures to maintain workflow standards
Maintains manuals of policies and procedures, contract guidelines, and other relevant reimbursement material
Oversee daily department activities per policies and procedures
Audit department functions for compliance with policy and procedure, contract, and government regulations
Effective improvement of operational processes to achieve maximum efficiency, accuracy, and data integrity
Research and analyze complex issues. Resolves claims issues related to practitioner or group enrollment and identifies and communicates opportunities for process improvements
Collaborates with the legal, compliance, tax and other departments to obtain and or ensure maintenance of certifications, licenses or other documents necessary for compliance with Government and Third-Party payor credentialing and or initial or ongoing enrollment requirements
Maintain and track business licenses and regulatory filings
Address problems as they occur. Keep manager advised of areas of concern or compliance issues which may lead to deactivation of enrollments or inaccurate completion of responsibilities
Qualification
Required
Schedules and organizes work assignments
Prioritizes and delegates job tasks to ensure timely completion
Ensure work is performed accurately and efficiently
Ensure department response to verbal and written internal or external customer inquiries within policy and procedure timeline
Assists in the review, development and maintenance of departmental policies and procedures
Advises on the development of overall guidelines and best practices
Implement policies and procedures to maintain workflow standards
Maintains manuals of policies and procedures, contract guidelines, and other relevant reimbursement material
Oversee daily department activities per policies and procedures
Audit department functions for compliance with policy and procedure, contract, and government regulations
Effective improvement of operational processes to achieve maximum efficiency, accuracy, and data integrity
Research and analyze complex issues
Resolves claims issues related to practitioner or group enrollment
Identifies and communicates opportunities for process improvements
Collaborates with the legal, compliance, tax and other departments
Obtains and or ensures maintenance of certifications, licenses or other documents necessary for compliance
Maintain and track business licenses and regulatory filings
Address problems as they occur
Keep manager advised of areas of concern or compliance issues
Company
TridentCare
TridentCare offers laboratory, diagnostic, ultrasound, x-ray, radiology and mobile diagnostic services at home for patients.
Founded in 1999
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Daniel C Buning
Chief Executive Officer
Mary Sweeney
Senior Vice President Human Resources
Recent News
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