Details

Client Name
Summa Health Corporate Office
Job Type
Travel
Offering
Non-Clinical
Profession
Non-Clinical
Specialty
Revenue Cycle Specialist
Job ID
33089434
Job Title
Project Coordinator - Payer Enrollment
Weekly Pay
$1636.0

Shift Details

Shift
Day - 8x5 - 08AM
Scheduled Hours
40

Job Order Details

Start Date
06/30/2025
End Date
06/30/2026
Duration
52 Week(s)

Job Description
Job Title: Payer Enrollment Transition Coordinator
Profession: Revenue Cycle Billing
Specialty: Revenue Cycle Billing
Duration: Temporary, project-based role
Shift: Day Shift
Hours per Shift: 6 hours
Experience: Minimum of 3 years in payer enrollment
License: Not specified
Certifications: Not specified

Must-Have:
Bachelor's degree, or an associate's degree with at least three years of experience in payer enrollment.
Minimum of two years in managed care, medical staff/credentialing, or a similar healthcare-related environment.
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 achieving results.
Flexible.
Understanding of credentialing and payer enrollment processes.

Description:
The Payer Enrollment Transition Coordinator is responsible for the accurate and timely enrollment and maintenance of all TINs and medical group name changes with commercial and government payers.
This role includes managing credential databases, application submissions, and communication with payers to ensure no interruptions in revenue.
A critical focus will be overseeing and executing a comprehensive Tax ID change project, encompassing all payers and including updates to EDI, ERA, and EFT information.
Coordinate and maintain accurate payer information for all TINs and medical group name changes within the credentialing database.
Manage data updates and records related to all TINs and medical group name changes.
Complete and submit applications for all 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 TINs and medical group name changes.
Maintain documentation of effective dates and payer-assigned identification numbers related to all TINs and medical group name changes.
Execute re-credentialing and re-validation processes in accordance with payer timelines.
Submit timely updates to payers for any additions, changes, or terminations related to all TINs and medical group name changes.
Verify demographic and practice information related to all 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 TINs and medical group name changes.
Maintain organized digital files and records of all enrollment activities associated with all TINs and medical group name changes.
Communicate proactively regarding delays or issues in payer enrollment for all TINs and medical group name changes.
Distribute and review required enrollment documents, ensuring completeness and adherence to payer-specific requirements for all TINs and medical group name changes.
Coordinate changes in the system for Revenue Cycle in collaboration with IT.
Work with the Payer Contracting team and collaborate with the Revenue Cycle team.
Manage changes to licenses, registration, and liability insurance documentation.
Collaborate with Revenue Management to ensure timely reimbursements and avoid disruptions related to all TINs and medical group name changes.
Provide support for internal and external audits related to payer enrollment for all TINs and medical group name changes.

Client Details

Address
1077 Gorge Blvd
City
Akron
State
OH
Zip Code
44310

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