Ascension · 13 hours ago
Sr. Assistant, Provider Enrollment/Delegated Credentialing Coordinator
United States
Full-time
Remote
Entry Level
$39K/yr - $53K/yr
1+ years expAscension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care. The role involves managing provider enrollment operations, ensuring compliance with managed care criteria, and maintaining provider databases while communicating essential information to the provider panel.
CharityHealth CareHospitalNon Profit
Responsibilities
Complete the day to day enrollment operations for all providers. Maintains and communicates provider enrollment information
Populate necessary enrollment fields in MD Staff for newly credentialed providers
Ensure the provider file from ACVS meets managed care criteria
Send newly credentialed rosters to all delegated payors
Complete and submit CAQH applications to all non delegated payors
Process provider data updates, changes and terms in MD Staff and submit to payors monthly
Follow up with payors to ensure new providers are loaded timely and correctly
Run rosters for all delegated audits
Manage payor enrollment/EPriv in MD Staff
Enroll providers in Medicare/MCD
Revalidation of Medicare/Medicaid numbers
Apply for Tricare certification
Complete non-Ascension hospital privileges applications for AMG providers
Creates, maintains and audits provider database, including contract relationships, specialty data and demographic information
Communicates plan information alerts, including policy changes, to the provider panel. Stays abreast of regulatory, legal and legislative issues and requirements and communicates changes
Qualification
Required
High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
Comprehensive knowledge of Delegated Credentialing, spanning process, regulatory requirements, and best practices, a must have
Strong regulatory knowledge of NCQA, URAC, and CMS required
Skilled in performing primary source verification required
Preferred
1-2 years of Health Plan delegation experience, preferred
Benefits
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
Company
Ascension
Answering God's call to bring health, healing and hope to all.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
unknown2025-04-03Acquired
Leadership Team
Eduardo Conrado
President and CEO
Kramer Schmidt
Vice President, Consumer Product Dates Employed
Recent News
San Bernardino Sun
2025-12-29
MarketScreener
2025-10-03
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