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Baptist Memorial Health Care Coordinator-Payer Enrollment in Memphis, Tennessee

Job Responsibilities

Maintains current provider profiles in the BMG Credentialing database SyMed OneApp.

Maintains current provider profiles in the CAQH database.

Performs primary data source verification of new providers joining BMG.

Performs initial communication to providers requesting supporting documents required for the completion of payer enrollment.

Completes assigned goals.

Job Summary

Supports Payer Enrollment Specialists, Manager and Director in the efforts to accomplish and maintain enrollment and/or facility affiliations. Performs initial development of Enrollment Portfolio for newly hired providers and assists in auditing established provider files. This will include performing primary data source verifications and monitoring per established protocols. Creation of provider profile within the Symed/One App Pro database as per established guidelines. Communicates directly with providers, payers, office managers, Operations Directors, and Executive Directors as needed. Generates reports. Performs CAQH attestation. All functions require high levels of accuracy, attention to detail and confidentiality. Performs other duties as assigned.

Education

Description

Minimum Required

Preferred/Desired

High School/GED

Medical Billing and Coding Diploma from an accredited facility.

Experience

Description

Minimum Required

Preferred/Desired

4 years of office experience

2 years in a medical billing organization

Licensure

Description

Minimum Required

Preferred/Desired

BOT Position Code #: 5348

Day Shift: Yes

Night Shift: No

Department Name: MG CBO Credentialing

External Company Name: Baptist Memorial Health Care Corporation

External Company URL: http://www.baptistonline.org

Street: 965 Ridge Lake Blvd.

Overview and Responsibilities:

Job Responsibilities

Maintains current provider profiles in the BMG Credentialing database SyMed OneApp. Maintains current provider profiles in the CAQH database. Performs primary data source verification of new providers joining BMG. Performs initial communication to providers requesting supporting documents required for the completion of payer enrollment. Completes assigned goals.

Job Summary

Supports Payer Enrollment Specialists, Manager and Director in the efforts to accomplish and maintain enrollment and/or facility affiliations. Performs initial development of Enrollment Portfolio for newly hired providers and assists in auditing established provider files. This will include performing primary data source verifications and monitoring per established protocols. Creation of provider profile within the Symed/One App Pro database as per established guidelines. Communicates directly with providers, payers, office managers, Operations Directors, and Executive Directors as needed. Generates reports. Performs CAQH attestation. All functions require high levels of accuracy, attention to detail and confidentiality. Performs other duties as assigned.

Qualifications:

Education

Description Minimum Required Preferred/Desired

High School/GED

Medical Billing and Coding Diploma from an accredited facility.

Experience

Description Minimum Required Preferred/Desired

4 years of office experience

2 years in a medical billing organization

Licensure

Description Minimum Required Preferred/Desired

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