Rochester
Payer Enrollment Coord II
Remote Work - New York · Mid · Full-time
Sponsorship not specified$19k-$27kDetected 2 hours ago
ResearchLeadership
> stay_score
odds of building a lasting career here
42Risky
Cap-exempt (no lottery)0
Sponsors this role100
Entry-level history0
PERM / green-card track0
Lottery odds (Level I)39
Fits your clock70
Thin sponsorship signal and lottery-bound (~15% per draw). A low-probability bet with your clock running. Prioritize cap-exempt roles and proven entry-level sponsors first.
Lottery odds assume a STEM candidate.
Personalize to your clock →> community_outcomes
No reports yet — be the first to help the next applicant.
About the role
- Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability.
- Minimizes reimbursement barriers for patients and providers by assisting with determining coverage and access options available for a specific product.
- Remains knowledgeable of private payer, Medicare, and Medicaid structure systems and reimbursement processes.
Responsibilities
- Tracks and maintains individual provider specific information in database for the APPs for commercial delegated payers for monthly submission.
- Collaborates directly with providers and various department representatives, including billing, to obtain information related to practice addresses, taxonomy codes, and to secure provider and authorized official signatures.
- Collaborates with other University departments to ensure compliance with all standards and policies.
Requirements
- Completes applications to revalidate individual providers, as well as University of Rochester groups, with Medicare and Medicaid as required each cycle.
- Analyzes application and supporting documents for accurateness and completeness, including all required verifications and documentation.
- Works with team leaders and staff to ensure files and/or applications and revalidations are completed accurately and within the required timeframes.
Compensation
- $19.04 - $26.63 The referenced pay range represents the minimum and maximum compensation for this job.
- Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Benefits
- equity, leadership, integrity, openness, respect, and accountability.
- URMC Medical Staff Services Work Shift:
- May assist healthcare providers with questions related to payer policies, patient assistance, and reimbursement support services.
- Resolves coverage and reimbursement issues that may create barriers to access for patients.
- Coordinates the transfer of data and electronic information with key leaders, including the hospital electronic medical record team and the delegated commercial payer with contracts.
- Assists APPs as requested with the CAQH (Committee for Affordable Quality Healthcare) profiles.
- Responds to inquiries from other healthcare organizations and interfaces with internal and external customers on day-to-day payer enrollment issues as they arise.
Company info
- This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
- At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora.
- Documents and tracks the status of provider enrollment applications for Medicaid, Medicare, and some Commercial Payers that are not part of Delegation.
Visa & Work Authorization
- information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected
Apply directly at Rochester →Create a free account for alerts like thisView Rochester immigration profile
This listing is sourced directly from Rochester's careers page and normalized into a canonical job model.