Avera Health

Location:

Avera McKennan Hospital

Worker Type:

Regular

Work Shift:

Day Shift (United States of America)

Pay Range:

The pay range for this position is listed below. Actual pay rate dependent upon experience.

$23.75 - $31.75

Position Highlights

Varied Shifts, Monday-Friday, 7:00am-5:00pm; 80hrs/2wks

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

The Enrollment Coordinator I is responsible for the coordination and support of initial and ongoing enrollment and credentialing processes for hospital and clinic facilities, as well as physician and mid-level providers. This position ensures timely and accurate enrollment with government payers and maintains documentation and data integrity across applicable systems. The Enrollment Coordinator I works closely with the Insurance Manager and Revenue Cycle teams to reduce claims on hold and ensure compliance with federal and state payer requirements.

What you will do

• Coordinates the initial enrollment and re-enrollment process for providers, including collecting and submitting necessary documentation and applications.
• Provides support and guidance on enrollment standards, PECOS administration, and ongoing revalidation processes.
• Maintains current knowledge of applicable state and federal regulations regarding enrollment, and adjusts procedures accordingly.
• Manages enrollment-related claim holds in accordance with Avera CBO policies and payer requirements.
• Performs accurate data entry and maintains enrollment records within the credentialing system and internal databases.
• Maintains and updates records in the NPI registry and furnishes current W-9s as needed.
• Ensures proper EFT setup for all newly enrolled hospitals or group locations.
• Serves as a resource to the credentialing team, assisting with government payer requirements.
• Maintains accurate records of banking relationships for all enrolled entities.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, or Work Experience:

• Associate's from a two-year college or technical school or an equivalent combination of education and experience.
• 1-3 years Advanced medical or administrative experience and/or training

Preferred Education, License/Certification, or Work Experience:

• Bachelor's in a related field of health information/healthcare.

Expectations and Standards

• Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote Avera’s values of compassion, hospitality, and stewardship.
• Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

• PTO available day 1 for eligible hires.
• Free health insurance options, for full-time single coverage on Avera High Deductible Health Plan
• Up to 5% employer matching contribution for retirement
• Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.