Job Posting

RemX is hiring a Payer Enrollment Coordinator to work with a reputable client of ours in Cumberland, RI! This associate will be responsible for ensuring corporate compliance with statutory requirements for Medicare, Medicaid, and Commercial enrollment for Clinics and Providers. This individual will also be responsible for interfacing and working directly with Providers, Payer Relations and Revenue Cycle Operations Teams, Clinical Ops Teams, and Field/Operations Management. 

Pay rate: $17 per hour or DOE

Schedule: Monday - Friday; 7:30am - 4:00pm

Contract Position with Potential for Hire

***100 percent Onsite***

Responsibilities:

• Ensuring timely and accurate processing of Payer Enrollment applications 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
• Update Credentialing and Billing systems with Provider information upon inquiry or receipt from Government /Commercial payers

• High school diploma or GED required,
• Bachelors Degree in Business Administration, Marketing, Finance or similar field preferred
• Must possess at least 2+ years of relevant work experience
• Must be proficient within Excel, and be familiar with doing pivot tables and formulas
• Must be proficient within Outlook and Web Applications
• This person would possess demonstrated understanding of insurance and billing procedures regarding Medicare, Medicaid, and Commercial in multi-state, multi-entity environment