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Provider Enrollment
3 months ago
Description
We are a Multi-Specialty office located in Wethersfield, CT hiring a full-time Provider Enrollment / Insurance Credentialing Specialist. This candidate must have prior experience in insurance credentialing process.
We offer a full benefit package including health insurance, dental, life, and 401(k). Please contact me for more information if you are interested in this position.
Credentialing functions include:
•Credential each new providers with all applicable insurance companies and hospital.
•Provide guidance to new providers, direct and or assist them in obtaining all licenses.
•Update insurance companies and hospital as needed for new providers or as needed
•Maintain CAQH website and attestation of all providers and maintain group credentials.
•Responsible for maintaining individual files on all licensed personnel, including all correspondence to and from credentialing departments at the insurance companies.
•Process any revalidation, re-credentialing, and renewals as needed.
•Serves as a liaison between insurance companies and providers and resolves any problems concerning provider information to ensure continued reimbursement.
•Answers any credentialing questions or inquiries and assist as needed.
•Keeps supervisor informed of new guidelines for credentialing, upcoming changes, and any problems envisioned.
•Provides practice managers and management team notification of credentialing status
Requirements
Must have prior experience with credentialing / provider enrollment
Salary Description
$25 - $27 per hour