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Provider Enrollment Coordinator

Thomas Jefferson University & Jefferson Health
United States, Pennsylvania, Philadelphia
10800 Knights Road (Show on map)
May 15, 2025
Job Details Ensures that all physicians are enrolled in the appropriate 3rd party carriers. Obtains all necessary provider numbers, signatures, credentialing information and other pertinent documentation for the 3rd party carrier plans for which we have an approved contract. Maintains provider dictionary and provides management with provider status reports. Handles all provider revalidations for all payers and CMS regulatory sites. Reviews network change form requests for provider changes/adds/deletes to network providers locations, NPI numbers, and taxonomy which drive claims reimbursement. Manage and update all related system applications and claims edits to add provider numbers and release all provider claims on hold - direct impact to revenue cycle. Job Description Education/Training/Experience: High school graduate or equivalent required. A healthcare background is strongly preferred. Experience in all aspects of 3rd party physician billing is preferred. Extensive knowledge of physician enrollment processing preferred. Network data experience is also considered an important component and can be substituted for other aspects of 3rd party billing. CAQH, PECOS, NPPES system knowledge is helpful Excel and Word preferred IDX software experience is preferred. Excellent organizational skills required. Work Shift Workday Day (United States of America) Worker Sub Type Regular Primary Location Address 101 E Olney Ave, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.