• Enrollment Coordinator-Healthcare

    NTT DATA North America (Cumberland, RI)


    NTT DATA Services currently seeks an Enrollment Coordinator-Healthcare to join our team in Cumberland, RI. This is a hybrid role: 4 days per week in office/1 day work from home.

     

    This is a 10+ month hybrid contract role

     

    Pay rate $16.37 per hour

     

    Hours: Mon - Fri 7:30am - 4:00pm EST

    Job Duties:

    • 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.

    • The Payer Enrollment Coordinator will be responsible for identifying and quantifying trends/issues and then effectively communicating them to the appropriate members of the management team along with what the potential impact could be.

    • 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.

    Required Experience:

    + 3+ years work experience with Government payers

    + 3+ years working daily with Microsoft Office to include Excel and Outlook

    Preferred experience/skills:

    *Adept at problem solving and decision making skills

    *Ability to work independently

    *Willingness to learn

    Education:

    Verifiable High School diploma or GED required or Bachelors Degree in Marketing preferred

     

    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.