Benefits
- Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
- Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
- Time to recharge: pro-rated paid time off (PTO) and holidays
- Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
- Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
- Family support: parental leave, adoption assistance and family benefits
- Other benefits: optional legal and pet insurance, transportation savings and more
Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process.
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.
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.
Requirements
Education:
- High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
- Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
Additional Preferences
Payor Enrollment
#ACVS
#LI-Remote
Why Join Our Team
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
Equal Employment Opportunity Employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
Fraud prevention notice
Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.