Enrollment Coordinator-onsite

NTT DATA Services currently seeks an Enrollment Coordinator o join our team onsite in Cumberland, RI. This is a 6 month contract to hire opportunity.

The Payer Enrollment Coordinator will be responsible for ensuring corporate compliance with statutory requirements for Medicare, Medicaid, and Commercial enrollment for Clinics and Providers.

Hours: Mon - Fri 7:30am - 4pm
Pay: $23.50 per hour

POSITION SUMMARY:
This position is responsible, under the supervision of the Manager of the Payer Enrollment Dept. to:

• Ensuring timely and accurate processing of Payer Enrollment applications (Initial and Revalidations) for Clinics and Providers.
• Provide quality control for timely and accurate individual enrollment applications submitted for Medicare and Medicaid programs.
• Resolve claims issues for individual payers in corporate billing system.
• Researching, completing and maintaining compliance with individual Government payers through credentialing, re-credentialing and audit processes and procedures.
• Contact Providers when Revalidation notices are received in order to obtain signature pages and validate current general information. Interact with the field (SPM and CPM’s) in regards to escalation notices.
• Minimize denials and deactivation of government applications where applicable to reduce key metrics including DSO, cost to collect, percent of aged claims, and Bad Debt.
• Update Credentialing and Billing systems with Provider information upon inquiry or receipt from Government /Commercial payers.

NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.



Key Responsibilities
Submit initial and revalidation applications for providers
Handle government and/or commercial payer enrollment (Medicare/Medicaid)
Manage mail-based documentation and workflows

Experience:
1 years experience with government payers (Medicare/Medicaid)
1 years health Insurance experience

Preferred Experience/Skills:
Reliable and consistent attendance
Willingness to work on-site
Strong communication and organizational skills

Education: Verifiable High School Diploma or GED Required