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  • Payer Enrollment Coordinator, Department of Medicine
    Medicine
    University at Buffalo, The State University of New York

    The UBMD Internal Medicine is seeking applicants for a full-time Payer Enrollment Coordinator. The Payer Enrollment Coordinator is responsible for credentialing of providers with insurance carriers, as well as timely follow-up and tracking status of provider malpractice applications, licenses, and DEA.

    They are responsible for:


    • Overall oversight of payer enrollment in at least sixteen (16) different insurance companies to ensure that their clinical services can be billed for.

    • Initial credentialing of providers with insurance carriers, as well as recredentialing in a timely manner.

    • Process initial and annual provider malpractice applications. Performs appropriate and timely database management of applications in order to cancel or update, when applicable.

    • Maintains updated CAQH files, IntelliApp files, and provider rosters.

    • Communicates with insurance carriers to ensure that all provider information is accurate and current.

    • Coordinates credentialing with Kaleida, ECMC and other entities as needed.

    • Enroll providers in Pecos and ePaces.

    • Works with human resources department for onboarding as it relates to new provider credentialing.

    • Ensures that ETIN’s are updated with Medicaid and ePaces. Submit group/provider Medicaid and Medicare revalidation when due.

    • Maintains confidentiality and adheres to all HIPAA privacy rules and policies.

    • Communicate with providers to enlist the proper documentation needed for credentialing and any issues that arise with the payers.

    • Communicates with the billing department to resolve issues, as needed.

    • Communicate with division/site designees regarding licenses and DEA information in order to ensure all records are updated in EMR.



    We are committed to a professional environment that is positive, respectful, cohesive, and supportive of cultural and individual differences in the service of our clinical and academic goals.


    Additional Information:


    1. Learn more about what it looks like to be a part of the University at Buffalo community.


    University at Buffalo is an affirmative action/equal opportunity employer and, in keeping with our commitment, welcomes all to apply including veterans and individuals with disabilities.

 


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