Provider Enrollment Coordinator

Children’s Cardiology, a subsidiary of Children’s Healthcare of Atlanta, is comprised of more than 60 pediatric cardiologists providing comprehensive services for patients from before birth to age 21 who have acquired or congenital heart disease. The Provider Enrollment Coordinator position manages the provider database within the organization.

This position serves as the contact for providers and acts as a liaison between various hospitals and payer groups. This position is eligible for a remote or hybrid work arrangement based on business needs and employee performance. It may be modified at any time. Periodic onsite attendance is required for trainings, meetings, organizational events, and other business needs.

Minimum Qualifications

Associates degree preferred or equivalent work experience in a healthcare setting. Minimum 2 years of payor enrollment experience preferred. Familiarity of payer processes, local, state, and federal requirements. Must possess a high level of analytical and problem-solving skills. Proficient in Microsoft Office Suite with emphasis on Excel.

Effective oral and written communication skills required. Proficient computer, typing and writing skills with a high degree of accuracy. Demonstrated organizational skills, attention to detail, and follow-through discipline. Ability to prioritize and handle multiple tasks and projects concurrently. Excellent customer service skills.

Must possess a high level of confidentiality.

Essential Duties and Responsibilities

Maintain provider database files in Excel, Medicred and CAQH (Council for Affordable Quality Healthcare, Inc.) Track and maintain current copies of provider documents including expiration dates. Evaluate all documentation received and identify any concerns that require follow up action. Input data for practitioner files and status reports.

Review payor website to ensure accuracy of provider data. Complete payor enrollment for onboarding/new physicians. Perform other projects and duties as assigned. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or any protected category.

As a part of the recruiting and new hire process with Children’s Cardiology, employment history will be verified and ANY false statements, omissions or misrepresentations of your application or resume will result in not being hired by the company.