Overview
Remote
Depends on Experience
Full Time
Skills
Health Care
Insurance
Management
EFT
Electronic Data Interchange
Revenue Management
project coordinator
transition
Job Details
We are looking for Transition Project Coordinator Position. Below is the Job Description, please have a look and if you are available for this position, please get back to me along with your updated resume in word format with contact number.
Job Title: Transition Project Coordinator
Job location: Remote
Duration: Long term Contract
Industry: Healthcare/Hospital
Job Summary:
- The Payer Enrollment Transition Coordinator is responsible for the accurate and timely enrollment and maintenance of all hospital TINs and medical group name changes with commercial and government payers.
- This includes managing credential databases, application submissions, and communication with payers to ensure no interruptions in revenue.
- A critical focus of this role will include overseeing and executing a comprehensive Tax ID change project for a large hospital system and medical group, encompassing all payers and including updates to EDI (Electronic Data Interchange), ERA (Electronic Remittance Advice), and EFT (Electronic Funds Transfer) information.
Spec:
- Coordinate and maintain accurate payer information for all hospital TINs and medical group name changes within the credentialing database.
- Manage data updates and records related to all hospital TINs and medical group name changes.
- Complete and submit applications for all hospital TINs and medical group name changes to contracted payers, meeting all regulatory and compliance requirements.
- Track application statuses to ensure successful completion and enrollment under all hospital TINs and medical group name changes.
- Maintain documentation of effective dates and payer-assigned identification numbers related to all hospital TINs and medical group name changes.
- Execute re-credentialing and re-validation processes for all hospital TINs and medical group name changes in accordance with payer timelines.
- Submit timely updates to payers for any additions, changes, or terminations related to all hospital TINs and medical group name changes.
- Verify demographic and practice information related to all hospital TINs and medical group name changes as required by contracted payers.
- Serve as the point of contact for a Tax ID transition project, leading coordination with all payers to update records, including EDI, ERA, and EFT for all hospital TINs and medical group name changes.
- Maintain organized digital files and records of all enrollment activities associated with all hospital TINs and medical group name changes.
- Communicate proactively with the VP, Revenue Cycle regarding delays or issues in payer enrollment for all hospital TINs and medical group name changes.
- Distribute and review required enrollment documents, ensuring completeness and adherence to payer-specific requirements for all hospital TINs and medical group name changes.
- Coordinate changes in the Epic system for Revenue Cycle in collaboration with IT&S
- Work with Payer Contracting team and collaborate with the Revenue Cycle team.
- Manage changes to hospital licenses, DEA registration, and liability insurance documentation.
- Collaborate with Revenue Management to ensure timely reimbursements and avoid disruptions related to all hospital TINs and medical group name changes.
- Provide support for internal and external audits related to payer enrollment for all hospital TINs and medical group name changes.
Required Qualifications:
- Formal Education Required Bachelor s degree, or Associate s degree with at least three (3) years of experience in payer enrollment.
- Experience & Training Required Minimum of two (2) years in managed care, medical staff/credentialing, or a similar healthcare-related environment.
- Other Skills, Competencies and Qualifications
- Excellent organizational, time management, and multi-tasking skills.
- Strong interpersonal skills to build effective working relationships internally and externally.
- Proficient in Microsoft Outlook, Word, Excel; Adobe Acrobat Professional and credentialing software preferred.
- High attention to detail with analytical and research skills.
- Proven dedication to follow-through and achieve results
- Flexible g) Understand credentialing and payer enrollment process
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