Provider Enrollment Analyst-Billing-Full Time-Day-Mount Sinai Queens

Provider Enrollment Analyst-Billing-Full Time-Day-Mount Sinai Queens

The Provider Enrollment Analyst (I) is responsible for 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.

• 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. Ensure that Annual Medicaid Decertification Forms are filled and completed accurately prior to the expiration deadline.
• Collect physician’s credentials & signatures for paper applications.
• Manages and collaborates 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 work flow.
• Comply with requests made by insurance carriers, provider representatives and physicians daily.
• Assists with Managed Care audits, work closely with Practice Administration on file selection and adherence to governing body guidelines/standards.

• Education: Bachelor's degree strongly preferred, or equivalent years of Provider/Facility Enrollment or credentialing experience and Associates 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.

Non-Bargaining Unit, 264 - Professional Billing - MSQ, Mount Sinai Queens

Strength through Unity and Inclusion

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. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

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 race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. 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. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $33.5 - $41 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.