AdventHealth Corporate
Enrollment Ancillary Specialist
AdventHealth Corporate, Altamonte Springs, Florida, United States, 32701
Job Title
Ensures credentialing information is complete based on the requirements of the specific provider entity and/or Facility. Ensures that credentialing applications are secured and stored for future use and submits to contracted payer plans for ancillary sites. Assists in maintaining a complete database of all credentialing materials for all contracted ancillary sites supported by corporate Managed Care. Works with internal and external partners to resolve issues concerning credentialing delays related to ancillary sites. Tracks and follows up on initial applications and re-credentialing applications related to ancillary sites coming into the department. Researches and resolves routine ancillary site operational issues with internal and external partners. Coordinates process with Negotiators to ensure contracts are in place prior to sending applications to payer. Supports ancillary contracting and operation services by auditing and analyzing data, verifying applications, preparing amendment letters. Ensures ancillary site credentialing materials are processed efficiently, professionally, and as expeditiously as possible. Other duties as assigned. Qualification Requirements: Bachelor's, High School Grad or Equiv (Required) Pay Range: $19.76 - $36.75 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Ensures credentialing information is complete based on the requirements of the specific provider entity and/or Facility. Ensures that credentialing applications are secured and stored for future use and submits to contracted payer plans for ancillary sites. Assists in maintaining a complete database of all credentialing materials for all contracted ancillary sites supported by corporate Managed Care. Works with internal and external partners to resolve issues concerning credentialing delays related to ancillary sites. Tracks and follows up on initial applications and re-credentialing applications related to ancillary sites coming into the department. Researches and resolves routine ancillary site operational issues with internal and external partners. Coordinates process with Negotiators to ensure contracts are in place prior to sending applications to payer. Supports ancillary contracting and operation services by auditing and analyzing data, verifying applications, preparing amendment letters. Ensures ancillary site credentialing materials are processed efficiently, professionally, and as expeditiously as possible. Other duties as assigned. Qualification Requirements: Bachelor's, High School Grad or Equiv (Required) Pay Range: $19.76 - $36.75 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.