Payer Enrollment Specialist/Coordinator

5 days ago

Chicago, United States Sound Physicians Full time
About Sound:

Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states. Founded in 2001, and with specialties in emergency and hospital medicine, critical care, anesthesia, and telemedicine, Sound has a reputation for innovating and leading through an ever-changing healthcare landscape - with patients at the center of the universe.

About the Role:

The Healthcare Payer Enrollment Specialist/Coordinator provides critical support to the payer enrollment team by assisting with the tracking and maintenance of healthcare provider enrollment applications within a tracking system, Credential Steam. This role is specifically in support of a workflow migration and will support data validation, reporting and data cleanup/adjustment activities. The ideal candidate will possess strong organizational skills, be able to take direction and execute against a plan with limited oversight. This candidate must also have a basic understanding of healthcare payer systems.

The Details:This role is Temporary, full-time, and remote. Eight (8) week minimum assignment with reassessment for possible extension at 6 weeks

In this role, you will be responsible for:
  • Assisting with tracking and maintaining healthcare provider enrollment applications within the Credential Stream system
  • Supporting the payer enrollment team in the workflow migration process by ensuring data accuracy and integrity throughout the transition
  • Performing data validation activities to ensure all enrollment records are complete and up to date in the tracking system
  • Assisting in reporting and monitoring enrollment status, highlighting discrepancies or issues for correction
  • Conducting data cleanup and adjustment tasks to align with new system workflows and ensuring consistency across records
  • Collaborating with the payer enrollment team to execute tasks as directed, ensuring timely completion of assigned responsibilities
  • Communicating regularly with internal stakeholders to provide updates on data validation and cleanup progress
  • Generating and reviewing reports related to the enrollment data, identifying areas for improvement or action
  • Supporting ad hoc tasks related to the workflow migration, including testing, documentation, and data quality checks
What we are looking for:

A successful candidate will have a demonstrated track record of a combination of these values, knowledge, and experience:

Values:
  • Work Ethic - Dedication to getting the job done well and on time, regardless of circumstances, a can-do attitude
  • Communication: The ability to speak, write, and listen clearly and consistently
  • Relationship Building and Maintenance: The ability to create and nourish healthy, strong relationships, as the face of Sound
  • Teamwork: Demonstrates the ability to pull people together into highly effective teams along with ability to work in a highly matrixed organization
  • Critical Thinking: Demonstrates the ability to be proactive, anticipate needs; ability to make good decisions with incomplete, ambiguous information
  • Adaptability - Demonstrates flexibility and a willingness to change as circumstances evolve and be coachable
Knowledge:
  • Associate's degree in Healthcare Administration, Business, Information Systems, or related field
  • Ability to follow detailed instructions and execute tasks with minimal oversight
  • Strong organizational skills and ability to prioritize tasks in a fast-paced environment
  • Problem-solving skills with the ability to identify data discrepancies and support system migration efforts
  • Basic understanding of healthcare payer systems and provider enrollment processes
  • Effective communication skills for collaborating with team members and providing updates on task progress
Experience:
  • 1+ years of experience in healthcare payer enrollment, data management, or administrative support
  • Familiarity with Credentialing and Payer Systems, such as Credential Stream or similar tracking systems
  • Experience with data validation, cleanup, and reporting within healthcare or related industries
  • Proficiency in data entry, Excel, and reporting tools, with strong attention to detail for managing large data sets
Pay Range:
  • This is a temporary position with an hourly $20-$25/hour depending on qualifications

Sound Physicians is an Equal Employment Opportunity (EEO) employer and is committed to diversity, equity, and inclusion at the bedside and in our workforce. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by federal, state, or local laws.

This job description reflects the present requirements of the position.As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.

#SoundBC

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