Provider Enrollment

3 weeks ago


Cincinnati, United States NR Healthcare Full time $33 - $43
*Job Overview*

Are you ready to apply Make sure you understand all the responsibilities and tasks associated with this role before proceeding.

We are seeking a detail-oriented Enrollment Specialist (Provider relations) to join our team. The ideal candidate will be responsible for ensuring that healthcare providers meet all necessary qualifications and comply with regulatory standards.
* *Location:* Norwood Center, OH, 45212
* *Job Type: *13 weeks of contract
* *Shift: *M-F 8AM-4:40PM
* *Hours:* 32-40 hours per week
* *Must have 5+ years of experience in Payer enrollment in a health system/hospital setting.*
* Strong CAQH knowledge
* Strong Excel experience
* Cactus/ Symplr experience
* Attention to details
* Must have worked previously in a hospital system
* Will not accept any Nursing, allied or agency credentialing specialist experience.
* Preferred: Cactus/Symplr, CAQH experience.
* Shift: 7AM-4PM 32-40 hours/week

*Job Responsibilities:*
* Complete and review Provider applications with accuracy and thoroughness, contact providers for application information when necessary, contact government agencies and managed care companies to obtain status and resolve discrepancies related to provider applications, and follow-up with physicians and assist with completing applications.
* Ensure timely submissions of all re-appointments and re-credentials, verifies all licenses are current, and maintains internal files, including copies of current credentials.
* Maintain accuracy of and update CAQH database.
* All other duties as assigned.

*Skills*
* 5+ years experience in credentialing.

*Education*
* Required Education: High School Diploma or equivalent.
* Preferred Education: Some college education preferred (degree not required).

Job Type: Contract

Pay: $32.79 - $42.87 per hour

Expected hours: 40 per week

Schedule:
* 8 hour shift
* Day shift
* Monday to Friday

Experience:
* Cactus/Symplr: 1 year (Preferred)
* Must have worked previously in a hospital system: 1 year (Required)
* Payer enrollment: 5 years (Required)
* CAQH: 1 year (Required)

Ability to Commute:
* Cincinnati, OH 45212 (Required)

Ability to Relocate:
* Cincinnati, OH 45212: Relocate before starting work (Required)

Work Location: In person
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