Coordinator III - Payer Enrollment Coordinator, MinuteClinic

Company: Integrated Resources, Inc
Location: Cumberland
Posted on: May 19, 2023

Job Description:

**BR increase to *****

***Candidate MUST be committed to working the following hours: 7:30-4.***

****Manager is open to candidates with only 1 year of experience, but candidate must be able to do the following; how to use excel, pivot tables, formulas. Outlook, web applications.****


The Payer Enrollment Coordinator will be responsible for ensuring corporate compliance with statutory requirements for Medicare, Medicaid, and Commercial enrollment for Clinics and Providers. This Individual will have the ability to work well with others; collaboratively with internal and external vendors and create partnerships through effective relationship building skills. This role will interact and work directly with new and existing Government /Commercial payers across the country. Analysis will include developing of provider and clinic level reporting insuring we are meeting all criteria for enrollment within our compliance policy for Government /Commercial. Payer Enrollment Coordinator will interface and work directly with the Providers, and also with Payer Relations and Revenue Cycle Operations Teams (Credentialing, Accounts Receivable, Billing, and Call Center) Clinical Ops Teams, and Client Field and Operations Management, in order to ensure integration of all processes.

Position Summary:

The Coordinator III will work directly with other coordinators to ensure quality of work delivered, performance/productivity benchmarks are met, and all compliance related issues are properly addressed, trained and coached on a consistent basis. The Enrollment Coordinators play a critical role in working with our new member clients to determine eligibility and perform various enrollment activities. Enrollment Coordinators interface with both individual plan members and employer group and requires a strong focus around accurate and timely customer support to ensure client enrollment and retention. The Enrollment Coordinator III reports directly to the Enrollment Supervisor, also functioning as SME (Subject Matter Expert) in the functions, processes, and eligibility procedures as they relate to Medicare Part D enrollment and CMS (Center for Medicare/Medicaid Services) Standards.

Duties:

THIS IS AN ONSITE ROLE, MAX BR ***

***Candidate MUST be committed to working the following hours: 7:30-4.***

****Manager is open to candidates with only 1 year of experience, but candidate must be able to do the following; how to use excel, pivot tables, formulas. Outlook, web applications.****

1.Administrative Support: Manage calendars and day-to-day administrative needs for the VP and Sr. Director within the Merchandising Team. Schedule and plan meetings, manage budgets, arrange travel, and prepare materials as necessary. 2.Business Reporting and Analytics: Run Daily sales, seasonal reporting, weekly vendor reporting and analyze market data to assist in decision making. Conduct special projects and perform analysis to support strategic priorities. 3.Communication Development: Communicate effectively, both verbally and on paper, to Merchandising and Cross-Functional teams throughout the organization. Work closely with outside partners. Assist with communication on overall performance, sales, sell thru and ad planning. Support the development of presentations for mid-level and senior executives.

Experience:

***Candidate MUST be committed to working the following hours: 7:30-4.***

****Manager is open to candidates with only 1 year of experience, but candidate must be able to do the following; how to use excel, pivot tables, formulas. Outlook, web applications.****

Education:

High school diploma or GED required, Bachelors Degree in Business Administration, Marketing, Finance or similar field preferred and have 2+ years of relevant work experience.

Keywords: Integrated Resources, Inc, Providence , Coordinator III - Payer Enrollment Coordinator, MinuteClinic, Other , Cumberland, Rhode Island