Enrollment Coordinator Resume Samples

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DG
D Goldner
Domenico
Goldner
43448 Von Tunnel
Dallas
TX
+1 (555) 318 0259
43448 Von Tunnel
Dallas
TX
Phone
p +1 (555) 318 0259
Experience Experience
01/2015 present
New York, NY
Senior Provider Enrollment Coordinator
New York, NY
Senior Provider Enrollment Coordinator
01/2015 present
New York, NY
Senior Provider Enrollment Coordinator
01/2015 present
  • Completes and submits provider enrollment initial applications, updates and revalidations for all facilities and physician subsidiaries seeking government reimbursement
  • Resolves issues related to enrollments and updates as identified by fiscal intermediaries and/or government agencies and responds to related requests for information in a timely manner to prevent or minimized unforeseen cash flow interruptions of government reimbursements
  • Develops and maintains a master data file for all documentation relating to the filing of all government provider enrollments necessary to maintain billing compliance
  • Provides analysis and recommendations concerning Medicare provider-based designations
  • Performs other duties as assigned
  • Serves as Seton’s expert in 1115 Waiver DSRIP rules providing guidance to project owners and incorporating changes with changing regulations
  • Works with Presidents, Vice Presidents, Central Health executives, other taxing/public entities and state officials for approval of projects
05/2008 09/2014
Boston, MA
Payer Enrollment Coordinator
Boston, MA
Payer Enrollment Coordinator
05/2008 09/2014
Boston, MA
Payer Enrollment Coordinator
05/2008 09/2014
  • Completes and returns payer requests for initial and recredentialing applications/paperwork for providers and business entities within established timeframes
  • Organization: Effective management of projects, deadlines, and work load prioritizing; putting things together in an orderly and functional whole
  • Decision Making: Makes timely, informed decisions that take into account the facts, goals, constraints and risks
  • Actively participates in creating and implementing improvements to achieve clinical, satisfaction and/or efficiency outcomes
  • Researches and updates provider payer credentialing status's to support ACO activities and accurate data for reporting and analysis
  • Serves as the primary contact for payers and HealthEast departments regarding payer credentialing related issues
  • Informs payers and HealthEast departments about new facilities, changes in status of facilities such as changes of address, billing address, closings, relocations, openings, mergers, and acquisitions within established timeframes
11/2001 12/2007
Dallas, TX
Enrollment Coordinator
Dallas, TX
Enrollment Coordinator
11/2001 12/2007
Dallas, TX
Enrollment Coordinator
11/2001 12/2007
  • Identify opportunities for process improvements and improvements and initiate efforts using accepted continuous improvement methodologies (DMAIC, Lean, etc.)
  • Work collaboratively with a diverse, driven team in a fast paced environment to develop new best-practices
  • Perform job tasks that are unique to the assigned upon market as agreed upon in the Service Level Agreement or as assigned by Enrollment management
  • Manage case workloads as assigned for various additional enrollment tasks
  • Serve as the primary point of contact for interested program applicants, working closely with each individual to provide polite and timely responses
  • Work collaboratively with a diverse, driven team in a fast-paced environment to develop new best practices
  • Adhere to lead management plan guidelines for each lead in the database
Education Education
Bachelor’s Degree in Business
Bachelor’s Degree in Business
California State University, Northridge
Bachelor’s Degree in Business
Skills Skills
  • Strong MS Excel skills including, but not limited to, V-lookup, formulas and pivot tables
  • Quick learner; process oriented; highly organized and proactive
  • Possess good analytical, organizational and detailed oriented skills
  • Strong knowledge of New Membership System
  • Strong attention to detail
  • Ability to effectively and efficiently work within a project team
  • Highly organized
  • Able to multitask efficiently and effectively
  • 1+ year of experience in the Health Insurance industry or professional Business-related field
  • Knowledge of Healthcare industry
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1

Enrollment Coordinator Resume Examples & Samples

  • Maintain a minimum standard of outbound calls to prospective students
  • Achieve speed to lead and contact efficiency metrics
  • Approach each call with a goal to transfer or set an appointment for Enrollment Advisors to speak with prospective students
  • Run filters and reports to update daily trackers and team boards for the program teams
  • Support application/registration events as applicable for each team
  • Associate degree or two (2) years of college preferred; bachelors degree from an accredited institution is highly preferred
  • One to 3 years customer service experience in an outbound calling environment
  • Outstanding written and verbal communication skills
  • Ability to work weekends as business needs dictate. Supervisory Responsibilities None
2

Enrollment Coordinator P Resume Examples & Samples

  • Accurately record interactions with each prospective student in the database
  • Process mail in a timely manner for the business unit
  • Be an active participant in cross-functional team events
  • General knowledge of higher education industry
  • Ability to work one evening until 9:00 PM and one weekend a month
  • Ability to work weekends as business needs dictate
3

Enrollment Coordinator Resume Examples & Samples

  • Ability to maintain a high energy level on several calls Ability to connect with students on calls Openness to feedback Ability to actively listen for long periods of time Confidence, adaptability and integrity to handle various phone calls
  • Mastering Pearson's Education Consultant / Call Center protocol
  • Participate in weekly QA calls with TL to identify lead quality issues/tech issues/agent issues etc
  • Monitory I3 to ensure adequate call coverage by agents
  • Successfully transferring qualified students to agents
  • Regularly and routinely participate in Military FTO chats and ‘normal’ FTO chats to inform agents of potential FTO’s, thus mitigating FTO’s as much as possible
  • Providing information to students about admissions processes or requirements via phone or internet
  • Training for all new hires on QT team
  • Navigating through Customer Relations Management (CRM) and automated phone system
  • Updating student inquiry progression on Pearson's databases
  • Minimum of 1 year or more customer service experience
  • Knowledge of the Microsoft Office Suite (especially Outlook) and the internet
  • Ability to pass assessment testing
  • H.S Diploma or GED
  • Be at least 18 years of age
  • Must pass a criminal background check and drug screen
  • Be available for a shift during the hours of operation
4

Enrollment Coordinator Resume Examples & Samples

  • 1+ year of previous Enrollment experience
  • 1+ year of experience in the Health Insurance industry or professional Business-related field
  • Knowledge of Healthcare industry
  • Strong knowledge of New Membership System
5

Business Enrollment Coordinator Resume Examples & Samples

  • Work through a list of leads and contact customers by phone and email
  • Maintain minimum of 100+ outbound call expectations
  • Use customer relationship management system to maintain lead/account information and keep accurate notes on all activity and opportunities
  • 1-2 years of experience in outbound calling preferred
  • Experience in qualifying and selling over the phone
  • Strong skills in personal computing, information look up and data entry
  • Highly effective oral and written skills
  • Previous experience with Business to Business sales preferred
  • Regular, reliable attendance
  • Natural Leader
  • Strong Cross-Departmental Communication
  • Experienced in servicing high-end/ high-profile clientele
6

Payor Enrollment Coordinator Resume Examples & Samples

  • 2-5 years of credentialing/payor enrollment in a health care provider or health care insurer environment
  • Bachelor's degree in Business Administration or related field
  • Knowledge of credentialing software and cloud based practice management software
7

Enrollment Coordinator Resume Examples & Samples

  • Maintain a minimum standard of outbound calls toprospective students
  • Achieve speed to lead and contact efficiencymetrics
  • Approach each call with a goal to transfer orset an appointment for Enrollment Advisors to speak with prospective students
  • Adhere to lead management plan guidelines foreach lead in the database
  • Accurately record interactions with eachprospective student in the database
  • Run filters and reports to update daily trackersand team boards for the program teams
  • Process mail in a timely manner for the businessunit
  • Support application/registration events asapplicable for each team
  • Be an active participant in cross-functionalteam events
  • Requires the ability to work a flexibleschedule, weekends, evenings to accommodate student, departmental and company’sneeds. This may include working more than 40 hours a week
8

Enrollment Coordinator ASU Resume Examples & Samples

  • Approach each call with a goal to transfer to Enrollment Counselor to speak with prospective students
  • Adhere to lead management plan guidelines for each lead in the database
  • Requires the ability to work a flexible schedule, weekends, evenings to accommodate student, departmental and company’s needs. This may include working more than 40 hours a week
9

Enrollment Coordinator Resume Examples & Samples

  • Approach each call with a goal to successfully transfer qualified prospective students to an Enrollment Counselor
  • Provide information to students about admissions processes and/or requirements via phone
  • Be an active participant in weekly coaching and team meetings
  • Requires the ability to work a flexible schedule, weekends, evenings to accommodate student, departmental and company’s needs
  • 2-year degree from an accredited institution and/or appropriate combination of education and experience preferred
  • One to Three years customer service experience in an outbound calling environment
  • Outstanding written and verbal communication skills with an attention to detail required
  • The ability to multi-task and work well under pressure with tight timelines
10

Enrollment Coordinator Resume Examples & Samples

  • Achieves enrollment and start rate goals, and conducts all activities in accordance with the highest ethical standards. Adheres to all state, and federal accreditation and institute rules and regulations regarding student recruitment
  • Accurately and completely portrays Institute educational programs, expected outcomes, student services, and financial consideration to students, parents and educators
  • Provides thorough and accurate student information to Student Success Advisor upon student enrollment. Assists other personnel and departments with data collection and problem solving
  • Participates in appropriate recruitment and enrollment activities including: open houses, regional presentations, training sessions, orientation programs, career days, etc
11

Enrollment Coordinator Resume Examples & Samples

  • Bachelors degree in Business or a related field is required
  • 0-2 years admissions recruitment or non-durable goods sales experience
  • Possess a sincere interest in helping others achieve life goals
  • Goal oriented and highly ethical
  • Strong expertise with MS Office as well as field related hardware and software packages and systems for reporting features
  • Ability to interact effectively as either a leader or as a member of a team and work collaboratively with other departments
12

Enrollment Coordinator Resume Examples & Samples

  • Works with BCM Clinical Departments to identify practitioners and facilitate the enrollment process
  • Applies independent decision-making to review and analyze provider’s applications and credentials for completeness and accuracy
  • Maintains a system for follow-up of unanswered correspondence according to the schedules designed to maintain department standards for application processing time
  • Maintains detailed provider enrollment files in paper/electronic format, including electronically received documents and scanning of hard copy documents and document each stage of enrollment/reenrollment process thoroughly
  • Develops and maintains good working relationships with providers and support staff to obtain necessary and timely information to facilitate the provider enrollment/reenrollment process
  • Responds to and resolves problems with network participation as it relates to denial of services or reimbursement by working closely with all levels of administrative and clinical personnel and network representatives
  • Responsible for educating providers, administrators and support staff regarding the enrollment/reenrollment processes and how they relate to the provider’s ability to provide care to network members in order to increase reimbursement and reduce patient dissatisfaction
  • Understands and complies with BaylorMedCare, State and Federal standards as applicable to the Enrollment and related functions
  • Maintains confidentiality of all information obtained during the enrollment or related processes
  • Develops and maintains a personal system of organization for control/share of information
  • Consistently reviews processes for areas of improvement
  • Responsible for schedule, hours, timesheets, reimbursements and other individual administrative tasks
  • Consistently and accurately maintain a range of data within the database
  • Must be able to review weekly reports for quality purposes
  • Exhibits behaviors and actions that create a high level of customer satisfaction, which contributes to positive customer/client relations and which reflects respect for the customer’s rights, needs and confidentiality
  • Demonstrates effective communication and human relation skills which promote harmony and teamwork
  • Presents behaviors and actions which maintain the College's credibility, integrity, and positive image
  • Demonstrates behaviors and actions which support the mission, goals, and operations of the College and which contribute to continuous service improvement
  • Assumes responsibility for the safety of staff, applicants and visitors
  • Exhibits flexibility, adapting readily to changes in the work environment or work schedule
  • Maintains a positive and professional demeanor even during periods of stress and challenge
  • Assumes responsibility for professional growth and development
  • Complies and adheres to all Baylor College of Medicine policies, procedures, and practices
  • Maintains positive attendance and communicates in advance any absences from work
  • Ensures coverage for all scheduled absences
  • Required: High school graduate/GED
  • Preferred: Additional technical training beyond high school preferred
  • Preferred: Bachelor degree in Business Administration or a related field
  • Required: Four years of directly relevant administrative experience
13

Enrollment Coordinator Resume Examples & Samples

  • Willingness to align with and support the mission of the School of Continuing Studies as a partner of adult learners who seek a superior educational experience at Northwestern University
  • Successful completion of a full course of study in an accredited college or university leading to a master's or higher degree in Education, Marketing or Student Counseling; OR appropriate combination of education and experience
  • 3 or more years’ experience combined work experience in university admission and marketing
  • Demonstrable credibility in terms of possessing theoretical insight, practical knowledge and demonstrable skills grounded by, and emerging through, trustworthy communications and actions
14

Provider Enrollment Coordinator Resume Examples & Samples

  • Associates degree required or equivalent combination of education and experience
  • National Association of Medical Staff Services (NAMSS) CPCS certification a plus
  • 3-5 years of working experience in a healthcare setting is required
  • Knowledge of provider credentialing and/or enrollment required
  • Knowledge of billing processes preferred
15

Enrollment Coordinator Resume Examples & Samples

  • Communicate with prospective students via call campaigns, emails, and faxes regarding the Program
  • Advise prospective students using a consultative process
  • Utilize database tools to efficiently track each interaction and the progress of all assigned leads
  • Guide them through the admissions process with the goal of determining if the program is a fit for their educational needs
  • Effectively follow departmental lead management guidelines for all leads
  • Achieve daily efficiency metrics pertaining to Speed to Lead, Call Volume, Talk Time, 1st Time Contacts, and New Applications as established by the Director of Admissions and the ADA
  • Effectively communicate industry trends, quality of leads, and program updates for appropriate cross-functional and departmental team members
  • Actively participate in weekly meeting rhythms being prepared to discuss performance data, prospective applicant concerns, and creative solutions to enhance team performance
  • Conduct a self-audit to ensure efficiency and consistency of data base
  • Monitor application process to ensure effective communication in tandem with application deadlines
  • Implement an email cultivation strategy designed to re-engage leads that have fallen to inactive statuses
  • Maintain minimum standard data base audit scores
  • Achieve Academic Partner enrollment objectives each term
  • Review previous term’s conversion metrics to forecast future enrollment metrics
  • Update data base system to reflect current/upcoming term information (email templates, enrollment periods, filters, etc.)
  • Bachelor’s degree from an accredited institution is preferred
  • Two to 3 years sales experience (in an outbound calling environment preferred)
  • General knowledge of higher education and/or college admissions and recruitment preferred
16

Kpif Enrollment Coordinator Resume Examples & Samples

  • Coordination of all daily enrollment efforts (enrollment, terminations, updates) in compiling, distribution and resolution of KPIF applications with oversight by the team manager/director. Also coordinates required KPIF Member Correspondence and follow up
  • Primary point of contact for tracking, reconciling and monitoring of third party vendor reports
  • Analyzes production data to measure and report daily, weekly and periods to date for unit productivity
  • Participates in developing operational policies and procedures in conjunction with management and ensures team follows approved policies and procedures
  • Works with KPIF Sales Support, vendors/brokers and other departments on a national and regional level as needed to achieve work objectives
  • Provides analysis of problem areas through identification of root causes, interim actions and long term solutions
  • Coordinates with Member Billing function to insure accurate KPIF member billing
  • Participates and represents the unit on national and regional project teams, acts as a lead with Membership Administration Project Coordinator
  • Minimum two (2) years of experience in a membership enrollment environment
  • Experience in managing outcomes based on MACESS and manual workflows
17

Enrollment Coordinator Resume Examples & Samples

  • Compiling and processing appropriate material(s) and documentation needed for client enrollment. This includes, but is not limited to, coordinating user lists, completing payer enrollment requests, and activating user permissions needed for application functionality
  • Confirm/enforce all required information on enrollment documents is properly completed before processing begins
  • Follow department guidelines/procedures for enrolling specific products based on client type
  • Maintain updated client enrollment information in Salesforce (or current CRM application)
  • Communicate and coordinate enrollment and set up questions and concerns between the client, Sales, and other internal team members
  • Coordinate with payers, partners, or vendors as appropriate to ensure availability of products to Passport clients is timely and accurate
  • Attend product and system/application trainings as available to ensure current knowledge and proficiency of Passport product offerings and systems/applications
  • Manage case workloads as assigned for various additional enrollment tasks
  • Associate or Bachelor’s Degree in relevant field and/or 3-5 years experience in healthcare setting (administration/billing/contracting/credentialing/customer service)
  • Equivalent combination of education and experience may be considered
  • Experience with Passport suite of products and/or OneSource Admin
  • Experience with Salesforce.com (or currently utilized CRM application)
  • Strong proficiency in Outlook and Excel required
  • Ability to function in a fast paced high volume environment
  • Exemplary teamwork skills
  • Posses strategic thinking and tactical planning skills
  • Superior interpersonal communication skills, flexibility and responsiveness
  • Willingness to cross train, and back up other members of team as needed
18

Enrollment Coordinator Resume Examples & Samples

  • Must be extremely detail oriented, confidential, impartial, and objective
  • Ability to use discretion and independent judgment to solve problems
  • Ability to apply analysis in order to generate and implement solutions
  • Must be able to effectively communicate across multiple sites and shifts within a team environment
  • Excellent PC and other clerical skills
  • Bachelor’s degree from an institution accredited by an agency recognized by the U.S. Department of Education (or international equivalent) preferred, High School Diploma or GED required
  • Requirements include at least 1+ years of demonstrated administrative experience preferred
19

Enrollment Coordinator Resume Examples & Samples

  • Support the Enrollment process in meeting performance standards and deadlines, by updating and generating enrollment packets within Enrollment System for all billing contracts for the division. Following established procedures print applications from system populating as many fields that are feasible, review file and tag all applications for signature and completion by the practitioners, requiring acute detail-orientation and accuracy to ensure completeness of information pre-populated on the enrollment applications
  • Prepare spreadsheet and notify RTI/Billing Company of new providers, obtain RTI billing numbers and enters data into Enrollment System prior to printing provider agreements
  • Submit applications to the Enrollment Specialists for quality review prior to sending to the practitioners for completion. Using established templates prepare cover letter to include all documents that need to be returned with applications, prepare all Federal Express mailing envelopes and returns for packets, track all packets by date sent and received
  • Conduct follow-up calls to providers for all outstanding packets in a timely manner for return to the division prior to first shift worked. Scrutinize applications for accuracy and completeness before submitting returned enrollment applications to Enrollment Specialists final review and processing to the payors
  • Maintain Enrollment applications files following established procedures by practitioner and by facility including grids with medical expiration dates for all practitioners at all facilities, logs and information on NPI issues, including confirmation of all group NPI being loaded into Enrollment System and attest to the Medicaid numbers on the various Medicaid website
  • May open the Enrollment department mail, logging applications that are returned, rejected and/or requests from payors for additional information, immediately disseminate Enrollment mail
  • Previous enrollment and/or insurance carrier billing experience preferred
  • Strong oral, written and interpersonal communication skills
  • Possess good analytical, organizational and detailed oriented skills
  • Ability to multi-task working under high volume and deadlines in a fast paced environment
  • Enthusiastic, self-motivated, able to work independently
  • Proficient in Microsoft Window applications (Word and Excel a must)
  • Versatile database management skills required
  • Capable of meeting time-sensitive deadlines and multi-tasking
20

Enrollment Coordinator Resume Examples & Samples

  • 3-5 years of experience in the same/similar role
  • Strong MS Excel skills including, but not limited to, V-lookup, formulas and pivot tables
  • Prior Benefits experience
21

Provider Enrollment Coordinator Resume Examples & Samples

  • Minimum of 1 year of experience in enrollment or credentialing of healthcare providers
  • Minimum of 1 year of experience in customer service, public relations, education
  • Minimum of 1 year of experience utilizing healthcare terminology
  • Eagerness to contribute in a team-oriented environment
  • Ability to work creatively and analytically in a problem-solving environment
  • Good communication (written and oral) and interpersonal skills
22

Enrollment Coordinator Resume Examples & Samples

  • Enter data into our CRM with accuracy and in a timely manner
  • Review and analyze documents to determine appropriate processing procedure
  • Assign various document types to the appropriate accounts
  • Process Explanation of Benefit (EOB) statements or Enrollments for various programs
  • Ability to identify and report information related to Pharmacovigilance in accordance to specific client process
  • Competence to process various document types in all related program queues
  • Perform specific tasks related to program requirements
23

Enrollment Coordinator Resume Examples & Samples

  • Identify inefficiency issues, training opportunities and potential system and process modifications within the Enrollment Department Manually look up records and analysis of data to determine next steps for discrepancy resolution
  • Adhere to strict CMS mandated turn-around times
  • Research, process, and find resolution for routine and complex enrollment cases
24

Enrollment Coordinator Resume Examples & Samples

  • Contacting a large volume of candidates who have expressed interest in advancing their education, qualify them, and see if Hult offers a fit for them
  • Work directly with our Enrollment Directors to procure strong candidates for them to speak with, and bring on-board as students
  • Work collaboratively with a diverse, driven team in a fast paced environment to develop new best-practices
  • Cold calling
  • Has a passion for international business, and champions international education
  • Native English Speaker or fluent in English
  • Experience in sales especially telesales experience preferred
  • Has exceptional interpersonal communication skills and effortlessly relates to people of varied cultural, and social backgrounds
  • Is self-motivated and driven
  • Works best in a team environment and thrives on collaboration
  • Experience in a service-oriented industry is a plus
25

Enrollment Coordinator Resume Examples & Samples

  • Contacting a large volume of candidates who have expressed interest in studying an undergraduate degree, qualify them, and see if Hult offers a fit for them
  • Work directly with our Enrollment Directors to procure strong candidates for them to speak with and bring on-board as students
  • Work collaboratively with a diverse, driven team in a fast-paced environment to develop new best practices
  • Has a passion for international business and champions international education
  • Fluent in English, additional language(s) a plus
  • Experience as telesales representative or other sales/customer service role (preferred)
  • Has exceptional interpersonal communication skills and effortlessly relates to people of varied cultural and social backgrounds
26

Enrollment Coordinator Resume Examples & Samples

  • Providing advice by telephone
  • Contributing to team coaching and development
  • Fluency in English – Spanish/French language is a plus
  • Experience in sales, especially telesales, preferred
  • Ambitious and target oriented
  • Self-motivated self-starter
  • Willingness to learn and open to feedback
27

Enrollment Coordinator Resume Examples & Samples

  • Interacting with candidates in a professional manner, in line with the bran values and principles
  • Customer focused, understanding customer needs
  • Self-motivated, self-starter
  • Experience of working in India
  • International experience (professional or personal) and are passionate to work in a multicultural environment
  • Native speaker or fluent in English and preferably fluent in Hindi, Urdu, Tamil or any other Indian language
28

Enrollment Coordinator Resume Examples & Samples

  • Promoting our top-ranked program to pre-qualified potential candidates
  • Interacting with candidates in a professional manner, in line with brand values and principles
  • Fluency in English and Turkish
29

Enrollment Coordinator Resume Examples & Samples

  • Contacting and advising our Latin American prospective students and helping to sell the program
  • Set up phone interviews for those candidates who qualify for the program
  • Interacting with our customers in a professional manner, in line with our brand and values
  • Consistently meeting and exceeding all team sales targets
  • Fully bilingual in English / Spanish
  • Good communication skills (written & spoken)
  • Computer Skills (MS Office)
  • Motivated to meet sales goals
30

Electronic Enrollment Coordinator Resume Examples & Samples

  • Performs system administration, database related tasks and record keeping support
  • Responsible for generating reports and documents
  • Learn and comprehend rules-based online enrollment system in order to increase client administrative accuracy and efficiencie
  • Good communication abilities to act as primary contact to Client Service Specialists while using the client online enrollment system
  • Exhibit a good aptitude for assessing a situations to identify causes, gather and process relevant information, generate possible solutions, and make recommendations and/or resolve the problem
  • Participate in online enrollment client site Go To Meeting overviews
  • Participate in the development of future pending growth of electronic enrollment technology endeavors to maintain client retention that enhance agency sales efforts
  • Continuously improve and develop professional standards, respect the confidentiality of the system information and data, use available resources exclusively for the company's benefit, respect internal regulations and working procedures, get involved in solving crisis situations that may occur
  • Must be detailed oriented, exhibit task work proficiency with minimal supervision
  • Obtain Virginia Health and Life Insurance License. Must also maintain license by attend continuing education classes and seminars, including various agency sponsored trainings on Healthcare Reform to assist in adhering to Federal Guidelines
  • Experience in using bswift or some other online enrollment system
  • Licensed in Virginia for Life & Health (Unlicensed candidates must obtain license within first 6 months of employment)
  • Able to multi-task in a fast-paced environment to meet deadlines
  • Proficient with Microsoft Office (especially Excel)
31

Enrollment Coordinator Resume Examples & Samples

  • Proactively conduct payor research, complete payor profile sheet and secure all payor specific documents/requirements
  • Accurately complete, submit, log and follow up on payor specific provider enrollment forms
  • Enter and maintain individual provider records into the Council for Affordable Quality Healthcare (CAQH) online database
  • Complete PECOS enrollment
  • Work collaboratively with various departments to secure documents necessary for enrollment
  • Complete provider number matrix and notify appropriate billing company with all information necessary to release claims
  • Facilitate resolution of billing vendor enrollment inquiries in a professional and timely manner
  • Provide enrollment update reports to program staff
  • Ensure regulatory compliance and safety/privacy regulations are maintained by the Company as it pertains to enrollment of physicians
  • Maintain strict confidentiality of business affairs and physician/patient information. Comply with HIPAA regulations in all aspects of daily duties
  • Serve as a back-up for billing personnel staying up to date on all billing related processes and procedures
  • Work closely with credentialing and program staff across all boundaries to improve internal policies and procedures as it relates to the enrollment process to maintain productive team-oriented environment
  • Perform analysis, special projects and other duties as required and assigned by the VP of Revenue Cycle Operations. These may, on occasion, be unrelated to the position described here
  • A minimum of 2-3 years experience handling physician enrollment into Medicare, Medicaid and third party payors
  • Knowledge and experience with Medicare, Medicaid, managed care enrollment, billing processes and Council for Affordable Quality Healthcare (CAQH) online database data entry
  • Must have experience interacting with health care professionals and physicians
  • Proven ability to support multiple projects and work with multiple people simultaneously required
  • Experience with enrollment and billing/collections in a hospital and/or medical practice setting ideal
  • Advanced computer skills required
  • Intermediate level excel and spreadsheet creation
  • Must have ability to appropriately handle confidential information
  • Good verbal, mathematical and communication skills are essential
  • Knowledge of HIPAA and privacy regulations
  • Effective organizational and interpersonal skills as well as the ability to multi-task and problem solve using critical thinking
32

Enrollment Coordinator Resume Examples & Samples

  • Proficient MS Office Skills (Assessments required)
  • Previous Help Desk Support/Customer Service experience required
  • Candidate must be a Multi-tasker and Detail Oriented
  • Candidate must have excellent written and verbal communication skills
  • Candidate must have the ability to grasp new software quickly
  • General knowledge of Automotive Industry a plus
33

Enrollment Coordinator Resume Examples & Samples

  • Managing a limited number of queues/tasks
  • Researching escalated and complex process causing errors/issues
  • Reviewing/modifying work instructions and training materials
  • Mentoring and coaching processors
  • Attending meetings related to process improvements and implementation of projects
  • Analyzing data and reports to identify trends/issues
34

Enrollment Coordinator Resume Examples & Samples

  • High School diploma, GED or equivalent required
  • US Citizenship, required
  • Required to obtain ADP 2 security status
  • Three years of health care business office experience with progressive responsibilities
  • Knowledge of USFHP program or TRICARE benefits
  • Appropriate typing skills
  • Proficiency in Windows, Word and Excel
  • Bachelor’s degree in Health Care Administration or Business Administration
  • Knowledge of TRICARE/CHAMPUS benefits
  • Experience with DEERS/DOES
  • Proficiency in Access, and PowerPoint
35

Provider Enrollment Coordinator Resume Examples & Samples

  • Facilitate the process of provider enrollment with the Government and Third Party Payers for both employed and contracted providers
  • Work with recruitment staff to coordinate a process that will ensure providers are enrolled appropriately for each payer, preferably prior to the provider’s starting date
  • Provide new hire coordination services along with provider enrollment and outstanding customer service support to other provider groups per agreements
  • Correspond with providers and their leadership to explain the process and obtain necessary information from them to complete the process, and keep them updated on the process
  • Coordinate system updates with patient accounting and/or other billers once a provider has been approved for billing purposes by the each payer
  • Responsible for entering and maintaining accurate provider information in the SyMed OneApp database and performing routine audits to ensure accuracy of data
  • Responsible for the recredentialing of each provider and validations with all the Government and Third Party Payers according to their guidelines
  • Effectively work with other staff, such as department administrators and managers, by identifying enrollment opportunities to help clarify and resolve issues
  • Maintain positive working relationships with both internal and external customers and successfully communicate both verbally and in writing with providers, vendors, and other staff
  • Review physician personnel files for necessary information, must follow strict confidentiality guidelines for access and release of information
  • Associates degree with two to four years of experience in a health plan enrollment, preferably in a multi-state environment
  • Ability to build strong, positive rapport with outside contacts as well with internal contacts
  • Demonstrate exemplary communication skills, both written and verbal
  • Excellent computer skill, particularly with database management and proficient in Microsoft word, excel, internet, and online form preparations. Knowledge of OneApp and Cactus database is preferable
  • Must be able to manage many complex, detailed tasks simultaneously
  • Must be detailed – oriented
  • Must have strong organizational skills
  • Ability to meet and beat target dates
  • Consistently provide excellent customer service to our internal and external customers
36

Enrollment Coordinator Resume Examples & Samples

  • Promoting our BBA program to pre-qualified potential candidates
  • Interacting with candidates in a professional manner, in line with the HULT values and principles
  • Supporting recruiters with applicants
  • Fluency in English – Arabic and/or French is a plus
37

Open Enrollment Coordinator Resume Examples & Samples

  • Requires a BA/BS degree or 3 years of related experience, or any combination of education and experience, which would provide an equivalent background
  • Excellent Written and verbal communication skills
  • Knowledge with Anthem Products and Services; knowledge of Anthem benefits a strong plus
  • Project Management skills
  • Experience working with Anthem Vendors preferred
  • Experience with Salesforce software preferred
38

Enrollment Coordinator Resume Examples & Samples

  • A bachelor’s degree in health care administration, business administration or an equivalent area is required
  • Equivalent work experience as a substitute to professional degree is acceptable
  • A minimum of 3 years experience in processing enrollment is expected
  • Work history emphasis within an independent physician association, management services organization or physician hospital organization is preferred
39

Enrollment Coordinator Resume Examples & Samples

  • 3 years of admissions and/or customer service experience
  • Experience working with customer relations management systems preferred
  • Experience in military skill assessment and the translation of military experience into corporate skill sets
  • Strong verbal and written communication skills; capable of establishing a courteous and professional rapport through distance communication tools
  • Ability to maintain student records in a robust customer relations management system
  • Travel Requirement, less than 5%
  • Serve as the primary point of contact for interested program applicants, working closely with each individual to provide polite and timely responses
  • Screen applications to ensure eligibility requirements are met, all required documents are received and applications are complete
  • Conduct informational interviews with participants to ensure their needs would be met by the program’s offerings and to refer to other programs as needed
40

Senior Enrollment Coordinator Resume Examples & Samples

  • To provide superior customer service to students, alumni, parents, and staff in a multi-channel environment while responding to questions and troubleshooting issues. To triage all customer contacts to ensure a high first contact resolution by effectively answering questions and providing general information to customers regarding Financial Aid, Registrar, and Student Account services
  • To communicate, excellently and effectively in-person and through email and phone contact
  • Process both online and hardcopy transcript requests, which may involve including performance of necessary research to produce the requested transcript
  • To understand and explain the calculations and ending balances, including any refunds, components of loans and financial aid that are shown on student statements
  • To perform general accounts receivable, receipts and payments, related to CASH Card, tuition payments, or other transactions as required
  • To maintain a strong working knowledge and understanding of the Financial Aid, Registrar, and Student Account services through knowledge-sharing and training opportunities
  • To thoroughly understand of the work-study program, including awards and deferred work-study; to verify any related documentation and updating the Onboarding system
41

Student Enrollment Coordinator Internship Program Resume Examples & Samples

  • Promoting our top ranked program to pre-qualified potential candidates
  • Interacting with candidates in a professional manner, in line with the brand values and principles
  • Supporting recruiters with advanced candidates
  • Decent level of English (Verbal and Comprehension)
  • Exceptional listening and communication skills
  • Confident and professional phone manner
  • Customer focused, understanding candidate needs
  • Willingness to learn and open to feedback, self motivated
42

Admission & Enrollment Coordinator Resume Examples & Samples

  • Associates Degree and 1-2 years’ experience or equivalent combination of education and experience required
  • Experience working in a higher education setting preferred
  • Strong experience working with ERP systems; preferably Banner and SalesForce
  • Excellent writing & verbal communication skills
  • Outstanding organizational skills and ability to do detail‐oriented work
  • Strong analytical and time management skills required
  • Ability to meet stringent deadlines and work under pressure
  • Ability to troubleshoot in a high-volume, changing work environment
  • Must have the ability to work effectively independently, and as a member of a team
  • Superior computing abilities including Microsoft Office Suite, Google Apps for Education and basic technology troubleshooting experience required
43

Enrollment Coordinator Resume Examples & Samples

  • Responsible for enrollment process and continued operations activities associated with an assigned market
  • Lead new market implementation efforts for responsibilities specific to the assigned market
  • Act as the primary point of contact for all Enrollment tasks and activities associated with assigned market for the Market Product Group, Business Implementation and corporate departments
  • Act as the Subject Matter Expert (SME) for the assigned market
  • Maintain current knowledge of regulatory and compliance guidelines for the market assigned
  • Responsible for ensuring each member in their assigned market successfully loads through the automated file process
  • Monitor all Enrollment exceptions and activities specific to assigned market to ensure adherence to Service Level Agreements (SLAs) are met, and escalate all issues with adherence to department management for resolution
  • Assist in initial and ongoing training of Enrollment staff for tasks specific to assigned market
  • Conduct quality control reviews of completed Enrollment tasks to ensure work for assigned market meets the quality goal
  • Represent Enrollment Operations in cross-functional meeting regarding Enrollment and Finance staff
  • Report findings of eligibility and capitation reconciliation related activities to Enrollment and Finance staff
  • Identify opportunities for process improvements and improvements and initiate efforts using accepted continuous improvement methodologies (DMAIC, Lean, etc.)
  • Perform user acceptance testing related to the assigned market
  • Identify report needs related to the assigned market
  • Assist with internal and external audits
  • Document standard operating procedures for the assigned market
  • Perform job tasks that are unique to the assigned upon market as agreed upon in the Service Level Agreement or as assigned by Enrollment management
  • Collaborate with enrollment management and staff to correct deficiencies in SLA and quality
  • Perform any other job related instructions, as required
  • Associates degree in a Business related field or equivalent years of relevant experience required
  • Minimum of eighteen (18) months of experience in Managed Care/Medicaid or three (3) years healthcare experience is required
  • Medicare experience is preferred
  • Experience in designated market preferred
  • Experience working in Project Management software preferred
  • Experience in data analysis and trending is preferred
  • Proficient in Microsoft Office tools, including PowerPoint, Word, and Excel
  • Understands the lifecycle of a project
  • Ability to effectively interact with all levels of management within the organization
  • Flexibility during organizational and/or business changes
  • Demonstrates analysis and collaboration skills
  • Demonstrates a sense of urgency
  • Ability to effectively and efficiently work within a project team
  • Ability to multi-task and prioritize work to meet project deadlines
  • Critical listening and thinking skills
  • Customer service oriented
  • Decision making/problem solving skills
  • Resourceful in gathering information
  • Quick learner; process oriented; highly organized and proactive
44

Enrollment Coordinator Resume Examples & Samples

  • Recruiting and marketing strategy in coordination with Regional Director and marketing team
  • A Marketing/Business Administration/Equivalent degree. Post graduate degree highly preferred
  • 5+ years of experience in sales, business development, or recruiting for a respected company with proven success of exceeding targets
  • Proven mix of strategy and execution
  • Management experience of small teams and proven leadership ability
  • Multicultural sensitivity
  • Strong commercial instincts
  • Strong business acumen, analytical ability and execution skills
  • Good telephone manner and confidence speaking on the phone
  • The poise to handle the pressure and demands of our industry in a fast paced and changing environment
  • A flexible and positive outlook. Young and creative mindset
  • An entrepreneurial spirit and can think outside of the box
  • Native speaker or fluent in Turkish; fluent in English also required
  • Understanding of undergraduate programs in Turkey– connections with schools and universities in the region a big plus
  • Target driven and a “nothing is impossible” attitude
45

Enrollment Coordinator Resume Examples & Samples

  • Promote Hult’s Bachelor of Business Administration program
  • Providing application advice by telephone
  • Pre-qualify potential candidates and book interviews for the Enrollment Directors
  • Interact with candidates in a professional manner, in line with the brand values and principles
  • Support Enrollment Directors with advanced candidates and special projects
  • Outgoing and ambitious individual
  • Preferred experience in sales or telesales
  • Responsible, passionate, and driven
  • Exceptional communication, presentation and interpersonal skills
  • A highly customer-focused nature, target-oriented and multitasking abilities
  • IT system savvy
46

OPS Enrollment Coordinator Resume Examples & Samples

  • 30-40 hours per week
  • Communicates effectively via verbal and written means
  • Has customer service experience
  • Has excellent note taking and record keeping skills
  • Responds quickly and professionally in situations
  • Works well on a team
  • Works with minimal supervision and exercises good judgment
  • Prioritizes work projects and is highly organized
  • Understands the importance of adhering to University policies and providing accurate information
  • Enjoys talking to people and hearing their stories
  • Has experience using Salesforce or other customer tracking program
  • Is friendly, welcoming and conscientious
  • Is a confident public speaker
47

Dual Enrollment Coordinator Resume Examples & Samples

  • Bachelor’s degree from accredited institution
  • Minimum experience: 2 years’ as GCU student worker with progressively responsible experience in a lead role or one year full time experience in high volume customer service operation
  • Ability to travel to GCU Dual Enrollment Partner High Schools in Arizona
  • Must have own vehicle to travel to GCU Dual Enrollment Partner High Schools
  • Valid Driver’s license and clean driving record
  • Cannot be delinquent or in default on a federal student loan as verified in your credit report. If in a rehabilitation program, your credit report must reflect that you are current, not delinquent, on your payments
48

Provider Enrollment Coordinator Resume Examples & Samples

  • Initiate and maintain currency of licensures
  • Conduct credentialing and re-credentialing in compliance with NCQA and HIPAA standards
  • Research and document credentialing and enrollment requirements for all health plans
  • Work with others to resolve issues with health plans, providers, and billing offices
  • Ensure enrollment with Medicare, Medicaid, and commercial insurance carriers in multiple states is accurate and complete
  • Maintain files and database to ensure documents and information are current and meet all regulatory and contractual requirements
  • 1-2 years of credentialing and/or provider relations experience in the healthcare industry from the physician OR insurance side of the credentialing process
  • Experience with MS Office suite of products. Must have intermediate Excel skills
  • Experience in working with providers and health plans
  • Experience working with state medical licensing boards
  • Experience working within a laboratory work environment
49

Enrollment Coordinator Resume Examples & Samples

  • Enrollment files for Health Choice Generations are maintained
  • All enrollment submissions to CMS are timely and accurate
  • All notices to members are timely and contain accurate information
  • All disenrollment requests are processed within CMS guidelines
  • Help resolve CMS enrollment issues logically
  • Members are enrolled in Health Choice Generations
  • Identify and address ongoing trends in reasons for member disenrollments to reduce further loss of members
  • Documentation, letters, policies and procedures are updated to reflect CMS regulation changes
50

Enrollment Coordinator Resume Examples & Samples

  • Contacting candidates over the phone
  • Promoting our top ranked program to potential candidates by phone
  • Consistently meeting and exceeding team targets
51

Payer Enrollment Coordinator Resume Examples & Samples

  • Informs payers and affected departments about new providers, changes in status such as changes in location, billing address, termination and addition of sites within established timeframes
  • Informs payers and HealthEast departments about new facilities, changes in status of facilities such as changes of address, billing address, closings, relocations, openings, mergers, and acquisitions within established timeframes
  • Completes and returns payer requests for initial and recredentialing applications/paperwork for providers and business entities within established timeframes
  • Serves as the primary contact for payers and HealthEast departments regarding payer credentialing related issues
  • Partners/collaborates with hospital credentialing in order to facilitate payer credentialing needs
  • Researches and updates provider payer credentialing status's to support ACO activities and accurate data for reporting and analysis
  • Partners with patient accounting to monitor underpayments by ensuring accurate provider enrollment. Keeps current with payer credentialing requirements and updates procedures as necessary
  • 3 to 5 years payer credentialing experience, background in insurance contracting, billing and reimbursement preferred
  • Analytical Thinking: Ability to Identify issues, obtain relevant information, relate and compare data from different sources, and identify alternative solutions
  • Decision Making: Makes timely, informed decisions that take into account the facts, goals, constraints and risks
  • Organization: Effective management of projects, deadlines, and work load prioritizing; putting things together in an orderly and functional whole
  • Problem Solving: Identifies problems; determines accuracy and relevance of information; utilizes appropriate tools and staff resources along with sound judgment to generate and evaluate alternatives, and to make recommendations
  • Team/Relationship Management: Partners with teams effectively to maximize performance, utilizing communication skills, facilitation skills, and knowledge of team dynamics and adapting to change
52

Senior Provider Enrollment Coordinator Resume Examples & Samples

  • Completes and submits provider enrollment initial applications, updates and revalidations for all facilities and physician subsidiaries seeking government reimbursement
  • Coordinates reviews of provider applications by appropriate departments
  • Develops and implements business solutions and procedures to prevent and mitigate issues and risks related to provider enrollment reporting requirements and record keeping
  • Develops and maintains systematic reporting processes with key administrative and clinical management positions in each facility and physician group to collect and report relevant data required for government provider enrollments, updates and revalidations
  • Resolves issues related to enrollments and updates as identified by fiscal intermediaries and/or government agencies and responds to related requests for information in a timely manner to prevent or minimized unforeseen cash flow interruptions of government reimbursements
  • Develops and maintains a master data file for all documentation relating to the filing of all government provider enrollments necessary to maintain billing compliance
  • Serves an expert consultant to senior leadership team members and finance directors regarding regulatory reporting requirements related to provider enrollments and updates
  • Includes preparing education and training materials and presentations, as necessary
  • Provides analysis and recommendations concerning Medicare provider-based designations
  • Collects, maintains and protects confidential proprietary information about Seton and personal information about its management personnel, corporate officers and Board of Trustee members as required for provider enrollment applications and updates
  • Prepares education and training materials as neccessary
  • Works with Presidents, Vice Presidents, Central Health executives, other taxing/public entities and state officials for approval of projects
  • Stays current on healthcare reform related changes and works on organizational readiness for targeted changes
  • Acts as lead person in the development and coordination of Delivery System Reform Incentive Program (DSRIP) projects
  • Serves as Seton’s expert in 1115 Waiver DSRIP rules providing guidance to project owners and incorporating changes with changing regulations