Enrollment Coordinator

Date Posted: 08/15/2025 Hiring Organization: Rose International Position Number: 487074 Industry: Pharmaceutical/Healthcare Job Title: Enrollment Coordinator Job Location: Cumberland, RI, USA, 02864 Work Model: Onsite Shift: Mon - Fri 7:30am - 4:00pm Employment Type: Temporary FT/PT: Full-Time Estimated Duration (In months): 8 Min Hourly Rate ($): 20.00 Max Hourly Rate ($): 24.00 Must Have Skills/Attributes: Insurance Nice To Have Skills/Attributes: Medicaid, Medicare Experience Desired: Medicare or Medicaid exp (1+ yrs) Required Minimum Education: High School Diploma or equivalent Preferred Education: Bachelor's Degree **C2C is not available** Job Description Required Education: • Verifiable High School diploma or GED required; bachelor's degree in marketing preferred Required Qualifications/Skills/Experience: • 1 to 3 years of experience with any type of insurance. • Adept at problem solving and decision-making skills • Ability to work independently • Proficient in Excel • Proficient in Outlook • Willingness to learn Preferred Qualifications/Skills/Experience: • Medicare or Medicaid exp. Enrollment Coordinator Overview: The Payer Enrollment Coordinator will be responsible for ensuring corporate compliance with statutory requirements for Medicare, Medicaid, and Commercial enrollment for Clinics and Providers. This Individual will have the ability to work well with others; collaboratively with internal and external vendors and create partnerships through effective relationship building skills. This role will interact and work directly with new and existing Government /Commercial payers across the country. Analysis will include developing of provider and clinic level reporting insuring we are meeting all criteria for enrollment within our compliance policy for Government /Commercial. Payer Enrollment Coordinator will interface and work directly with the Providers, and also with Payer Relations and Revenue Cycle Operations Teams (Credentialing, Accounts Receivable, Billing, and Call Center) Clinical Ops Teams, and MinuteClinic Field and Operations Management, in order to ensure integration of all processes. 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. Industry: Healthcare Estimated Start Date: 09/08/2025 **Only those lawfully authorized to work in the designated country associated with the position will be considered. ** **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements. ** Benefits: For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website. California Pay Equity: For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.

Created: 2025-09-24