Crossroads is a leading addiction treatment provider of outpatient medication-assisted treatment (MAT). We treat patients with opioid use disorder (OUD) using medications such as methadone and suboxone/ buprenorphine. We pride ourselves in supporting our patients’ medical and personal recoveries from substance use disorder. Starting our fight against the opioid addiction crisis in 2005, Crossroads has remained physician led and patient focused as we’ve grown to 100+ clinics across nine states. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.
Day in the Life of an Enrollment CoordinatorReceives notifications from the Clinician Onboarding Liaison (COL).
Work closely with recruiting team during the onboarding process of new providers and provide weekly credentialing updates as to status of enrollment with payors.
Escalates Provider Credentialing issues to the Manager, as needed.
Escalates payor issues to Director, as needed.
Tracks, generates, and prepares applications to send to provider.
Conducts payer research on the provider.
Adds providers to the Credentialing report.
Reviews returned packets for accuracy and communicates updates to the Providers.
Follows up with providers for un-returned paperwork.
Keeps all key stakeholders informed of any challenges faced in new markets.
Support overall Provider Enrollment Department, assist contracting department with requests as necessary and work with RCM to assist with payer issues related to credentialing.
Meets at least monthly with health plans (more if needed) to obtain statuses of providers and to address any claims issues including holds and denials.
Works with payors to ensure timely enrollment & active status.
Escalates trends and issues to RCM, operations, and other key stake holders as needed.
Performs data entry and data validation in Modio.
Education and Experience requirementsMinimum of 2 years of successful work experience in physician credentialing and/or physician enrollment.
Experience with provider credentialing databases/websites/portals (i.e.- CAQH, NPPES and PECOS).
Experience with Modio software preferred.
Working knowledge of the revenue cycle process.
Benefits PackageMedical, Dental, and Vision Insurance
PTO
Variety of 401K options including a match program with no vesture period
Annual Continuing Education Allowance (in related field)
Life Insurance
Short/Long Term Disability
Paid maternity/paternity leave
Mental Health day
Calm subscription for all employees