Job Summary

Responsible for the enrollment process for all Geisinger Providers and third-party payers. Responsible for the facility enrollment for all Geisinger owned entities. Ensures appropriate provider and facility enrollment procedures and policies are in order to accurately and timely enroll providers and facilities with all payers while ensuring compliance with contractual, state, and federal regulations. Ensures proactive review and process change based on proposed/enacted regulatory changes.
Job Duties


+ Provides completed enrollment documents to the providers after receiving notification from the Credentialing department, Clinical Operations, Coordinators, or any other means.

+ Maintains a complete understanding of the items required for enrollment for each participating insurance plan.

+ Prepares and submits government credentialing applications and supporting documentation for the purpose of enrolling and re-enrolling indivi...