Summary
Marathon Health is an advanced primary care provider partnering with employers and unions to improve healthcare delivery. The Enrollment Coordinator supports carrier enrollment functions for medical staff by completing payer applications, resolving enrollment inquiries, maintaining credentialing data, and tracking enrollment progress.
Responsibilities
- Work with commercial payers to enroll providers with our client's insurance plans
- Assist providers in completing the enrollment applications for commercial payers
- Act as a liaison between health plans and the organization to resolve enrollment inquiries, and other issues
- Update provider and payer credentialing tables in Athena
- Understand provider-related billing processes and procedures for commercial payers
- Participate in the development of internal enrollment processes
- Provide frequent status updates to Revenue Cycle Team and Operations Leaders regarding enrollment progress through to time of completion
- Team player approach partners with Provider Services, Revenue Cycle Management and Field Operations teammates
Skills
- High School diploma and a minimum of 2 years of medical credentialing experience
- Prior professional experience working with personal information and maintaining patient confidentiality
- Strong attention to detail with a focus on accuracy and quality control
- Highly organized with the ability to track and manage multiple enrollments simultaneously
- Strong time‑management skills with the ability to prioritize and multitask effectively
- Self‑motivated and results‑oriented with a high level of ownership and accountability
- Persistent and proactive in following up with payers through completion
- Adaptable and eager to learn in a changing environment with evolving payer requirements
- Analytical mindset with strong math and problem‑solving skills to support reporting and identify enrollment gaps impacting claims
- Proficient with computer software, databases, EMRs, and tracking tools (Athena experience preferred)
- Experience supporting and monitoring CAQH profiles, including initial setup, attestations, re‑attestations, and issue resolution
- Excellent written, verbal, and interpersonal communication skills
- Provider‑focused, patient, and service‑oriented
- Collaborative team player who partners effectively with revenue cycle teammates, credentialing, and provider teams
- Comfortable working in a fast‑paced, high‑volume environment
- Demonstrates integrity and discretion when handling confidential medical and provider information
- Demonstrates flexibility and willingness to support team priorities beyond core responsibilities as needed
- 2 years of experience working with electronic medical record software Athena is strongly preferred
- Prior credentialing and database experience is also preferred
Qualifications
Must Haves
- High School diploma and a minimum of 2 years of medical credentialing experience
- Prior professional experience working with personal information and maintaining patient confidentiality
- Strong attention to detail with a focus on accuracy and quality control
- Highly organized with the ability to track and manage multiple enrollments simultaneously
- Strong time‑management skills with the ability to prioritize and multitask effectively
- Self‑motivated and results‑oriented with a high level of ownership and accountability
- Persistent and proactive in following up with payers through completion
- Adaptable and eager to learn in a changing environment with evolving payer requirements
- Analytical mindset with strong math and problem‑solving skills to support reporting and identify enrollment gaps impacting claims
- Proficient with computer software, databases, EMRs, and tracking tools (Athena experience preferred)
- Experience supporting and monitoring CAQH profiles, including initial setup, attestations, re‑attestations, and issue resolution
- Excellent written, verbal, and interpersonal communication skills
- Provider‑focused, patient, and service‑oriented
- Collaborative team player who partners effectively with revenue cycle teammates, credentialing, and provider teams
- Comfortable working in a fast‑paced, high‑volume environment
- Demonstrates integrity and discretion when handling confidential medical and provider information
- Demonstrates flexibility and willingness to support team priorities beyond core responsibilities as needed
Nice to Haves
- 2 years of experience working with electronic medical record software Athena is strongly preferred
- Prior credentialing and database experience is also preferred