Department: 10117 Advocate Aurora Health Corporate - Credentials Verification ServiceStatus: Full timeBenefits Eligible: YesHours Per Week: 40Schedule Details/Additional Information:Monday-Friday business hours. This is a remote, work from home position. Remote work is currently only approved for residents living in the following states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY.The Managed Care Enrollment Coordinator is a strategic role within managed care credentialing designed to facilitate the enrollment of Advocate Aurora Medical Group (AAMG) employed and contracted providers through all stages of onboarding in order to enroll them with commercial payers and works as a liaison to AAMG Operations/Contracting departments, AAH Payer Activation team and Advocate Physician Partners (APP).Major Responsibilities:
Manages enrollment of all employed and contracted AAMG providers by applying subject matter expertise skills based on specific hiring/contractual arrangements to decide appropriate credentialing variables, demographics and service line.Participate and/or request meetings with key contacts in AAMG to sort out appropriate credentialing route and enrollment processing of providers hired/contracted under a unique arrangement/contract. Collaborating with multiple departments/areas to streamline the above processes.Adheres to deadlines and scheduled managed care credentialing committees by tracking files through all stages. Day-to-day responsibility for maintaining proactive communication with internal and external individuals regarding credentialing, enrollment and government payor activation processes.Oversee receipt/review and processing of all practitioner demographic/specialty/other changes and resignation requests to be delivered to APP Network Management team for processing and distribution to commercial payers.Communicate regularly via phone, fax, or written correspondence with Credentials Verification Office, Hospital medical staff offices, contract entities, physicians and group practice offices. Provide direct support to Managed CareCredentialing coordinators in the processing of verifications and database maintenance of credentialing elements for new applicants and reapplicants. Also in tracking timely submission of recredentialing applications from AAMGData entry and record keeping of ancillary practitioners employed by AAMG. Track expirables of licensure, insurance and board certification for all AAMG practitioners credentialed members of APP.Respond to internal/external questions and resolutions of problems relative to delayed, incomplete or problematic matters, specific to credentialing and provider enrollment according to established policies/proceduresRepresent team in medical group AAMG Acquisitions team, AAH Payer Activation, Advocate Intensivists and Office of APC weekly meetings.Education/Experience Required:
Level of Education: High School Graduate Years of Experience: Four (4) years’ experience in administrative support position including database management.Knowledge, Skills & Abilities Required:
Excellent communication, organizational and problem solving skills Advanced Proficiency in the use of Microsoft Office (Excel, Access, PowerPoint and Word) and credentialing software Knowledge of accrediting and regulatory agencies as related to the Medical Staff, including (but not limited to) Joint Commission, DNV, HFAP, CMS, OSHA, NCQA and State and Federal Law and other standards and regulations, and hospital and system-wide policies regarding licensed independent practitioners in the hospital setting required. Must have proven track record of effective interactions with physicians and other health care professionals Ability to work effectively and independently. Demonstrated ability to effectively manage multiple priorities
License/Registration/Certification: NonePhysical Requirements and Working Conditions:This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.Pay Range $23.65 - $35.50Our Commitment to You:Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:Compensation

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Benefits and more

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

About Advocate Healthis the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names in Illinois; in the Carolinas, Georgia and Alabama; and in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Managed Care Credentialing Coordinator

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