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Payer Enrollment Specialist

2 months ago

Cincinnati, United States ICONMA Full time
Payer Enrollment Specialist

Location: Norwood, OH
Duration: 13 weeks

Description:
Required:
3-5 Physician Payer enrollment experience; Credentialing experience, and Excel

Must have 3-5 years of Physician payer enrollment experience and strong Excel skills.

Job Summary:
A position responsible for the credentialing of physicians and allied health providers.

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.
Follow up and communicate regularly with TCHMA Administration, Billing Dept. and Office Managers.
Maintain accuracy of and update CAQH database.
All other duties as assigned.

Required Skills & Experience:
3-5 years' experience in credentialing.
Excellent computer skills, to include word processing, spreadsheet and database management.
Ability to work under pressure and adaptable to change.
Attention to detail and accuracy are essential.

Required Education:
High School Diploma or equivalent.

Preferred Education:
Some college education preferred (degree not required).

Skills Required:
EXCEL

Languages:
English (Speak, Read, Write)

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.