Managed Care Enrollment Coordinator, Credentialing Part-time

4 weeks ago

Oak Brook, United States Advocate Aurora Health Full time
Department:

10117 Advocate Aurora Health Corporate - Credentials Verification Service

Status:

Part time

Benefits Eligible:

Yes

Hours Per Week:

20

Schedule Details/Additional Information:

This is a remote role, Monday-Friday, day shift hours.

The Managed Care Enrollment Coordinator is a strategic role within managed care credentialing designed to facilitate the enrollment of Advocate Aurora Medical Group (AAMG) employed and contracted providers through all stages of onboarding in order to enroll them with commercial payers and works as a liaison to AAMG Operations/Contracting departments, AAH Payer Activation team and Advocate Physician Partners (APP).

Major Responsibilities:
  • Manages enrollment of all employed and contracted AAMG providers by applying subject matter expertise skills based on specific hiring/contractual arrangements to decide appropriate credentialing variables, demographics and service line.
  • Participate and/or request meetings with key contacts in AAMG to sort out appropriate credentialing route and enrollment processing of providers hired/contracted under a unique arrangement/contract. Collaborating with multiple departments/areas to streamline the above processes.
  • Adheres to deadlines and scheduled managed care credentialing committees by tracking files through all stages. Day-to-day responsibility for maintaining proactive communication with internal and external individuals regarding credentialing, enrollment and government payor activation processes.
  • Oversee receipt/review and processing of all practitioner demographic/specialty/other changes and resignation requests to be delivered to APP Network Management team for processing and distribution to commercial payers.
  • Communicate regularly via phone, fax, or written correspondence with Credentials Verification Office, Hospital medical staff offices, contract entities, physicians and group practice offices. Provide direct support to Managed Care
  • Credentialing coordinators in the processing of verifications and database maintenance of credentialing elements for new applicants and reapplicants. Also in tracking timely submission of recredentialing applications from AAMG employed/contracted practitioners. Support AAMG Operations/Contracting/Recruitment/Office of APCs departments with out of network, billing and claims questions/issue resolutions.
  • Data entry and record keeping of ancillary practitioners employed by AAMG. Track expirables of licensure, insurance and board certification for all AAMG practitioners credentialed members of APP.
  • Respond to internal/external questions and resolutions of problems relative to delayed, incomplete or problematic matters, specific to credentialing and provider enrollment according to established policies/procedures
  • Represent team in medical group AAMG Acquisitions team, AAH Payer Activation, Advocate Intensivists and Office of APC weekly meetings.
Licensure, Registration, and/or Certification Required:
  • N/A
Education Required:
  • High School Graduate.
Experience Required:
  • Typically requires 4 years of experience in Four (4) years' experience in administrative support position including database management.
Knowledge, Skills & Abilities Required:
  • Excellent communication, organizational and problem solving skills
  • Advanced Proficiency in the use of Microsoft Office (Excel, Access, PowerPoint and Word) and credentialing software
  • Knowledge of accrediting and regulatory agencies as related to the Medical Staff, including (but not limited to) Joint Commission, DNV, HFAP, CMS, OSHA, NCQA and State and Federal Law and other standards and regulations, and hospital and system-wide policies regarding licensed independent practitioners in the hospital setting required.
  • Must have proven track record of effective interactions with physicians and other health care professionals
  • Ability to work effectively and independently. Demonstrated ability to effectively manage multiple priorities


This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Advocate Aurora Health is one of the 10th largest not-for-profit, integrated health systems in the U.S. with nearly 3 million patients served at more than 500 sites of care in Illinois and Wisconsin, including 28 hospitals. We're redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in a variety of specialties. Advocate Aurora Health is one of the 10th largest not-for-profit, integrated health systems in the U.S. with nearly 3 million patients served at more than 500 sites of care in Illinois and Wisconsin, including 28 hospitals. We're redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in a variety of specialties.

  • Credentialing Coordinator

    1 week ago

    Oak Brook, United States Unavailable Full time

    Position Overview Greater Purpose and Core Values: Athletico’s Greater Purpose is to empower people, inspire hope and transform lives. We accomplish this by providing exceptional, progressive, and cost-effective fitness, performance and rehabilitative services through personalized care that emphasizes education and prevention of future injury. This is...

  • Credentialing Coordinator

    3 weeks ago

    Oak Brook, United States Athletico Physical Therapy Full time

    The Credentialing Coordinator reviews applications, prepares verification letters, and contacts clinical staff and insurance carriers to ensure that all active providers have completed applications and credentialing/re-credentialing information on fi Credentialing, Coordinator, Healthcare, Business Services, Enrollment, Application

  • Enrollment Coach

    1 week ago

    Oak Brook, United States Collegis Education Full time

    Collegis Education is a marketing and technology education solutions company that offers industry-leading services for colleges and universities of every size in every sector. Using a proactive and data-driven approach, Collegis Education empowers institutions to make a broader impact by providing insights that help grow enrollments, improve student outcomes...

  • Enrollment Coach

    2 weeks ago

    Oak Brook, United States Collegis Education Full time

    Collegis Education is a marketing and technology education solutions company that offers industry-leading services for colleges and universities of every size in every sector. Using a proactive and data-driven approach, Collegis Education empowers institutions to make a broader impact by providing insights that help grow enrollments, improve student outcomes...

  • Enrollment Coach

    1 week ago

    Oak Brook, United States Collegis Education Full time

    Collegis Education is a marketing and technology education solutions company that offers industry-leading services for colleges and universities of every size in every sector. Using a proactive and data-driven approach, Collegis Education empowers institutions to make a broader impact by providing insights that help grow enrollments, improve student outcomes...

  • Enrollment Coach

    19 hours ago

    Oak Brook, United States Collegis Education Full time

    Collegis Education is a marketing and technology education solutions company that offers industry-leading services for colleges and universities of every size in every sector. Using a proactive and data-driven approach, Collegis Education empowers institutions to make a broader impact by providing insights that help grow enrollments, improve student outcomes...

  • Enrollment Coach

    1 day ago

    Oak Brook, United States Collegis Education Full time

    Collegis Education is a marketing and technology education solutions company that offers industry-leading services for colleges and universities of every size in every sector. Using a proactive and data-driven approach, Collegis Education empowers institutions to make a broader impact by providing insights that help grow enrollments, improve student outcomes...

  • Enrollment Coach

    2 days ago

    Oak Brook, United States Collegis Education Full time

    Collegis Education is a marketing and technology education solutions company that offers industry-leading services for colleges and universities of every size in every sector. Using a proactive and data-driven approach, Collegis Education empowers institutions to make a broader impact by providing insights that help grow enrollments, improve student outcomes...

  • HR Coordinator

    2 weeks ago

    Oak Brook, United States Get It Recruit - Hospitality Full time

    We are seeking an organized and personable Human Resources Coordinator to join our team! In this multifaceted role, you'll have the opportunity to provide outstanding administrative support to our HR department while serving as a helpful ambassador for our employees.**Key Responsibilities:**- Maintain accurate employee records and files, ensuring all data is...

  • Human Resources Coordinator

    3 days ago

    Oak Brook, United States The Drake Oak Brook, Autograph Collection Full time

    **What’s in it for you**: - Insurance enrollment available from DAY 1! - Paid time off available from DAY 1! - Holiday pay available from DAY 1! - 401(k) enrollment after 30 days! - Hotel and travel discounts at worldwide destinations! - Professional development and promotion opportunities! **The impact you’ll make**: The Human Resources Coordinator...

  • Human Resources Coordinator

    3 days ago

    Oak Brook, United States The Drake Oak Brook, Autograph Collection Full time

    What’s in it for you… Insurance enrollment available from DAY 1! Paid time off available from DAY 1! Holiday pay available from DAY 1! 401(k) enrollment after 30 days! Hotel and travel discounts at worldwide destinations! Professional development and promotion opportunities! The impact you’ll make…The Human Resources Coordinator performs a critical...

  • Human Resources Coordinator

    22 hours ago

    Oak Brook, United States The Drake Oak Brook, Autograph Collection Full time

    What’s in it for you… Insurance enrollment available from DAY 1! Paid time off available from DAY 1! Holiday pay available from DAY 1! 401(k) enrollment after 30 days! Hotel and travel discounts at worldwide destinations! Professional development and promotion opportunities! The impact you’ll make…The Human Resources Coordinator performs a critical...

  • Human Resources Coordinator

    2 days ago

    Oak Brook, Illinois, United States The Drake Oak Brook, Autograph Collection Full time

    What's in it for you...Insurance enrollment available from DAY 1Paid time off available from DAY 1Holiday pay available from DAY 1401(k) enrollment after 30 daysHotel and travel discounts at worldwide destinationsProfessional development and promotion opportunitiesThe impact you'll make... The Human Resources Coordinator performs a critical role on the...

  • Program Manager

    1 month ago

    Oak Brook, United States Restoration Builders, Inc. Full time

    Position Description: - **About Us**:The Roofing School of Illinois and Public Adjuster Academy are specialized educational institutions that prepare students for state exams required to obtain Illinois roofing and Public Adjuster licenses. Our commitment is to deliver top-tier education and support, ensuring our students success and professional...

  • Life Spa Front Desk Coordinator

    2 weeks ago

    Oak Brook, United States Life Time Fitness Full time

    . Position Summary The LifeSpa Coordinator operates the telephone system to answer incoming calls and directs callers to appropriate personnel in a manner that exceeds the caller's expectations, presenting a cheerful and pleasant attitude at all times. They also assist the Department Head with filing and other office duties as needed. Job Duties and...

  • Life Spa Front Desk Coordinator

    3 days ago

    Oak Brook, United States Life Time Fitness Full time

    . Position Summary The LifeSpa Coordinator operates the telephone system to answer incoming calls and directs callers to appropriate personnel in a manner that exceeds the caller’s expectations, presenting a cheerful and pleasant attitude at all times. They also assist the Department Head with filing and other office duties as needed. Job Duties and...

  • Life Spa Front Desk Coordinator

    2 days ago

    Oak Brook, United States Life Time Fitness Full time

    . Position Summary The LifeSpa Coordinator operates the telephone system to answer incoming calls and directs callers to appropriate personnel in a manner that exceeds the caller’s expectations, presenting a cheerful and pleasant attitude at all times. They also assist the Department Head with filing and other office duties as needed. Job Duties and...

  • Procurement Manager

    2 weeks ago

    Oak Brook, United States Treehouse Foods Full time

    **Employee Type**: Full time **Location**: IL Oak Brook **Job Type**: Supply Chain Procurement **Job Posting Title**: Procurement Manager **About Us**: TreeHouse Foods (NYSE: THS) is a leading manufacturer of private label packaged foods and beverages, operating a network of production facilities across the United States and Canada. At TreeHouse Foods,...

  • Part-time Bookkeeper

    7 days ago

    Oak Brook, United States Oak Brook Club Full time

    Job Overview: - Complete clerical tasks and bookkeeping responsibilities as assigned by the Property Manager or Assistant Property Manager. - Maintain a businesslike appearance to create a positive image for the association. - Treat all residents impartially and courteously in a businesslike manner. **Hours**: - Work two - three days weekly from 8:00 a.m....

  • Registered Nurse Medical Rehab

    1 month ago

    Oak Brook, IL, United States Surgical Care Affiliates, LLC Full time

    RN PreOp PACU, Part Time - Rush Oak Brook Surgery Center Overview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a...