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Credentialing and Enrollment Specialist

3 months ago

Camden, New Jersey, United States CAMcare Health Corporation Full time

CAMCARE HEALTH CORPORATION - CREDENTIALING AND ENROLLMENT SPECIALIST

CAMcare Health is a diverse and innovative team dedicated to providing top-notch healthcare to communities in Camden and the surrounding areas. The organization's values center around offering primary health care to all individuals, regardless of financial circumstances, across seven sites in Camden and Gloucester counties. Committed to elevating patient care, we integrate technology, creative problem-solving, and healthcare innovation on a daily basis.

Why Join Us:

Join our team as a Credentialing and Enrollment Specialist and play a vital role in ensuring healthcare providers are appropriately credentialed and enrolled in insurance and government healthcare programs, contributing to regulatory compliance and efficient reimbursement processes.

Responsibilities:

  • Manage credentialing for healthcare providers
  • Collect and verify necessary documentation
  • Communicate with providers for required information
  • Submit credential applications and monitor progress
  • Review regulatory reports and act accordingly
  • Facilitate provider enrollment with insurance plans and government programs
  • Maintain compliance with regulations and update processes
  • Manage provider information in databases
  • Collaborate with internal teams for seamless processes

Qualifications:

  • Bachelor's degree in healthcare or business administration preferred
  • Prior experience in healthcare credentialing and enrollment
  • Familiarity with healthcare regulations and software applications
  • Strong communication and organizational skills
  • Ability to prioritize tasks and work independently or within a team
  • Attention to detail and accuracy
  • Healthcare credentialing certification is a plus

Note: Reasonable accommodations can be made under ADA guidelines

We Are an Equal Opportunity Employer

Benefits Include:

  • Dental insurance
  • Employee assistance program
  • Health insurance
  • Life insurance
  • Paid time off
  • Professional development support
  • Retirement plan
  • Vision insurance