Job Summary

Provides leadership assistance to the operations of assigned department(s). Responsible for Provider and Facility Enrollment Services.
Job Duties


+ Manages enrollment of providers and facility for the Health System as it applies to the Joint Commission, PA DOH, CMS, and third-party payer rules and other applicable regulatory standards to the enrollment processes within the system.

+ Reviews and analyzes data necessary to complete enrollment filings, processes and roster development for payer agencies and organizations. Oversees the team’s assessment of completeness of information and providers' qualifications relative to established standards. Identifies potential issues and flags adverse information from application materials for the purpose of obtaining necessary information in preparation for filing submission. Works with Legal Services/Risk Management to assist in addressing enrollment related status updates, changes and revalidation ...