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Provider Enrollment Coordinator

2 months ago

Boise, Idaho, United States St. Luke's Health System Full time
Job Summary

St. Luke's Health System is seeking a highly skilled Provider Enrollment Specialist to join our team. As a key member of our organization, you will be responsible for coordinating the provider payer enrollment process to ensure compliance with regulatory standards.

Key Responsibilities
  • Ensure timely enrollment of new providers with third-party and government payers
  • Maintain existing active physicians and advanced practice providers
  • Validate up-to-date plan enrollment forms, complete applications, and submit for approval
  • Verify accuracy and coordinate entry of new and revised provider information into our database
  • Monitor delegated agreement health plan enrollments and provide oversight to ensure timely processing
  • Validate status of onboarding providers' enrollments to ensure target start dates are met
  • Work closely with the credentialing team to coordinate enrollment efforts and meet deadlines
  • Responsible for ongoing maintenance of existing providers, including submission of maintenance forms to update personal and practice demographic data
Requirements
  • Associate degree
  • 3 years' experience in provider enrollment, credentialing, insurance, or a related field
What We Offer

At St. Luke's Health System, we are committed to providing a supportive and inclusive work environment. We offer a competitive salary, comprehensive benefits package, and opportunities for growth and development. Our team is dedicated to delivering exceptional patient care and making a positive impact in our communities.