Mount Sinai Morningside
Provider Enrollment Analyst-Billing-Full Time-Day-Mount Sinai Queens
Mount Sinai Morningside, New York, New York, us, 10261
Provider Enrollment Analyst - Billing – Full Time – Day – Mount Sinai Queens
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Provider Enrollment Analyst-Billing-Full Time-Day-Mount Sinai Queens
role at
Mount Sinai Morningside .
Description The Provider Enrollment Analyst (I) is responsible for the completion of all provider insurance credentialing and re‑credentialing functions, including meeting requirements for government, commercial, managed care, and other health plan credentialing following an industry‑standard manner.
Responsibilities
Ensure enrollments for new providers in Medicaid, Medicare, Managed Care plans, Commercial Health plans and Exchange plans.
Identify enrollment disparities for existing and new providers, work with plan to correct errors.
Work directly with MSQ Departments to ensure compliance with Medicare & Medicaid enrollment and ensure that Annual Medicaid Decertification Forms are filled and completed accurately prior to the expiration deadline.
Collect physician’s credentials & signatures for paper applications.
Manage and collaborate with external departments to ensure the procurement, timely completion and submission of required Federal and State forms as received from the CBO/FPA, establishing continuous coverage and reimbursable status for MSQ PB.
Respond to requests from departments & insurance representatives regarding TIN linkage, enrollment status & physician demographics.
Periodic follow up with Mount Sinai Medical Affairs team and the CBO Credentialing team to confirm status of enrollments. Build & maintain meaningful relationships with plan representatives.
Maintain clear and concise records of all enrollment submissions. Share Provider Insurance Participation lists for relevant departments upon receipt of official PAR status notifications from the CBO and Delegated Credentialing teams.
Trouble‑shoot, critical thinking, prioritize workflow.
Comply with requests made by insurance carriers, provider representatives and physicians daily.
Assist with Managed Care audits, work closely with Practice Administration on file selection and adherence to governing body guidelines/standards.
Qualifications
Education: Bachelor's degree strongly preferred, or equivalent years of Provider/Facility Enrollment or credentialing experience and Associate’s degree. Medical Group and Health Plan knowledge preferred.
Experience: Two years minimum of healthcare experience including Medicare or Medicaid Provider or Facility Enrollment or Credentialing experience required, including one year of revenue cycle‑specific as well as direct customer service.
Employer Description The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. Joining us means becoming part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare.
Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on protected characteristics. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported.
Compensation The salary range for this role is $33.5 - $41 hourly, with actual salaries depending on experience, education, and operational need.
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Provider Enrollment Analyst-Billing-Full Time-Day-Mount Sinai Queens
role at
Mount Sinai Morningside .
Description The Provider Enrollment Analyst (I) is responsible for the completion of all provider insurance credentialing and re‑credentialing functions, including meeting requirements for government, commercial, managed care, and other health plan credentialing following an industry‑standard manner.
Responsibilities
Ensure enrollments for new providers in Medicaid, Medicare, Managed Care plans, Commercial Health plans and Exchange plans.
Identify enrollment disparities for existing and new providers, work with plan to correct errors.
Work directly with MSQ Departments to ensure compliance with Medicare & Medicaid enrollment and ensure that Annual Medicaid Decertification Forms are filled and completed accurately prior to the expiration deadline.
Collect physician’s credentials & signatures for paper applications.
Manage and collaborate with external departments to ensure the procurement, timely completion and submission of required Federal and State forms as received from the CBO/FPA, establishing continuous coverage and reimbursable status for MSQ PB.
Respond to requests from departments & insurance representatives regarding TIN linkage, enrollment status & physician demographics.
Periodic follow up with Mount Sinai Medical Affairs team and the CBO Credentialing team to confirm status of enrollments. Build & maintain meaningful relationships with plan representatives.
Maintain clear and concise records of all enrollment submissions. Share Provider Insurance Participation lists for relevant departments upon receipt of official PAR status notifications from the CBO and Delegated Credentialing teams.
Trouble‑shoot, critical thinking, prioritize workflow.
Comply with requests made by insurance carriers, provider representatives and physicians daily.
Assist with Managed Care audits, work closely with Practice Administration on file selection and adherence to governing body guidelines/standards.
Qualifications
Education: Bachelor's degree strongly preferred, or equivalent years of Provider/Facility Enrollment or credentialing experience and Associate’s degree. Medical Group and Health Plan knowledge preferred.
Experience: Two years minimum of healthcare experience including Medicare or Medicaid Provider or Facility Enrollment or Credentialing experience required, including one year of revenue cycle‑specific as well as direct customer service.
Employer Description The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. Joining us means becoming part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare.
Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on protected characteristics. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported.
Compensation The salary range for this role is $33.5 - $41 hourly, with actual salaries depending on experience, education, and operational need.
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