Client Relations Coordinator
Job Details
Experienced
Anders Minkler Huber & Helm LLP - St. Louis, MO
Contractor
Day
Health Care
Description

CLIENT RELATIONS COORDINATOR

Contractor

As a member of the Health Care Service team, this role is accountable for end-to-end management and completion of hospital credentialing/ recredentialing applications, provider enrollment applications and issue resolution to ensure all providers and locations of assigned clients get enrolled in the appropriate commercial, state, and federal health plans.

 

A significant scope of this role is responsible to foster positive relationships with clients and oversee the day-to-day relations with clients, their personnel and providers. This individual’s daily functions include working independently with clients, their personnel, providers, health plans, and hospital leaders effectively to accomplish the various elements to ensure timely and accurate completion of their assigned tasks.  The CRC must deliver exceptional client service, which is an expectation representing Anders vision, mission and core values.

 

Position Responsibilities

 

  • Ensures enrollment packets are appropriately signed, complete and accurate, and contain the necessary attachments
  • Set-up and manage providers in the enrollment software
  • Data entry of practitioner information into enrollment databases such as PECOS and/or various enrollment portals and ensures that the information in the databases is current and accurate.
  • Verify NPIs and other customer enrollment information
  • Review provider CAQH profiles and verifies that all pertinent elements are captured in the pertinent enrollment databases
  • Follow up on credentialing requests and applications on a regular schedule that will result in faster turnaround times as requested by Team Leads
  • Communicate payor enrollment and credentialing statuses as needed with Team Leads
  • Escalate and communicate any at-risk client concerns/issues to Team Lead
  • Keep customers informed and up to date regarding provider renewals, expirations, and application processes
  • Monitor provider credentials and licenses to ensure timely renewals
  • Tracks essential steps taken in the enrollment process and logs the actions in the enrollment database
  • Enters payer Provider Identification Numbers (PINs) and the effective date into the credentialing system once they are received
  • Will communicate with Managed Care on an ongoing basis as to status of payer contracts and other various enrollment issues
  • Maintenance of physician enrollment and CAQH profiles as requested by Team Leads
  • Maintain and keep up to date on all payor enrollment requirements
  • Attend client meetings as needed and/or required
  • Document and communicate updated payor credentialing requirements externally and internally
  • Serve as enrollment and credentialing subject matter resource internally and externally
Qualifications

Qualifications and Competencies

  • Possess an understanding of hospital credentialing and commercial, state, and federal health plan enrollment as well as experience navigating payer portals
  • Experience in hospital credentialing, health plan credentialing, enrollment and requirements
  • Knowledge of CAQH
  • Baseline knowledge of revenue cycle
  • Ability to work within a deadline-intense environment
  • Demonstrate problem-solving and customer service skills
  • Excellent verbal and written communication skills
  • Excellent organizational and time management skills, ability to multi-task, and keep attention to detail is a must
  • Highly resourceful self-learner, with the ability to operate effectively independently
  • Forward looking thinker, who actively seeks opportunities and purposes solutions
  • Highly motivated and success-driven with the ability to implement and manage cross functional projects
  • Willingness to pitch in and assist with other projects and share responsibilities, as needed
  • Ability to interact effectively with a variety of people (providers, practice administrators, health plans, government payors, and facility medical staff offices)
  • Provides highest level of customer service for both internal and external customers
  • Strong written and verbal communication skills
  • Strong presentation and client interaction skills

Education and Experience

  • BA/BS degree or equivalent experience preferred.
  • Minimum 2-5 years credentialing and payer enrollment experience within practice setting, hospital environment or health plan.
  • Proficiency with credentialing/enrollment software systems
  • Strong organizational and excellent follow-up skills
  • Strong proficiency with Microsoft Office (Outlook, Word, Excel, and PowerPoint), TEAMS, Credentialing/Enrollment software

 

All applicants for this position must be authorized to work in the United States now and in the future without requiring sponsorship.

 

For over 50 years, Anders has delivered full-service accounting, tax, audit and advisory services to growth-oriented companies, organizations and individuals. Every day, our partners and staff serve as a catalyst for those striving to achieve their highest potential and carry this mentality on to our clients and community. Ranked #100 on Accounting Today’s List of Top Accounting Firms and a Firm to Watch, Anders is a member firm of the Leading Edge Alliance (LEA), one of the largest international associations of independent accounting firms. For more information on Anders, visit anderscpa.com and follow on us Twitter, Facebook, LinkedIn and Instagram: @AndersCPA

 

Apply