Payer Enrollment Specialist

3 weeks ago


Cincinnati, United States Suncap Technology Full time

Payer Enrollment Specialist

Location: This position is fully onsite; remote work is not available

Norwood, OH (Onsite)

Duration: 13-week contract

Schedule Notes

Please confirm with each candidate the following questions.

Is this candidate committed to a contract assignment?

Is this candidate committed to working onsite 5 days a week?

Is this candidate committed to obtaining a Flu shot prior to starting?

Requirements: -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.

Duties

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.

Skills

Required Skills & Experience:

-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.

Preferred Skills & Experience:

-N/A

Education

Required Education:

-High School Diploma or equivalent.

Preferred Education:

-Some college education preferred (degree not required).

Required Certifications & Licensure:

-N/A

Preferred Certifications & Licensure:

-N/A



  • Cincinnati, United States IDR Healthcare Full time

    IDR is seeking a dedicated and experienced Payer Enrollment Specialist to join one of our top clients in Cincinnati, OH. This role is perfect for individuals with a strong background in payer enrollment within a health system or hospital setting. If you are looking for an opportunity to join a large organization and work within a team-oriented culture,...


  • Cincinnati, Ohio, United States IDR, Inc. Full time

    Payer Enrollment SpecialistIDR, Inc. is seeking a dedicated and experienced Payer Enrollment Specialist to join our team in Cincinnati, OH. This role is perfect for individuals with a strong background in payer enrollment within a health system or hospital setting.Key Responsibilities:Accurately complete and review provider applications, reaching out to...


  • Cincinnati, United States Precision Staffing Services Full time

    We are seeking a dedicated and detail-oriented Payer Enrollment Specialist to join our team. The ideal candidate will play a crucial role in managing the enrollment process for our clients, ensuring compliance with medical office standards and manage Enrollment, Specialist, Healthcare, Office Manager, Staffing


  • Cincinnati, United States vodastra.com Full time

    Job Title: Payer Enrollment Specialist Location: 2100 Sherman Avenue, Norwood, Ohio Duration: 13 Weeks (W2 Contract) Pay rate:- $40- 50/hourJob Summary: We are seeking a dedicated Payer Enrollment Specialist to join our team. This role is primarily responsible for the credentialing of physicians and allied health providers. The ideal candidate will possess...


  • Cincinnati, United States Advatix Full time

    Payer Enrollment Specialist Role Summary Our client is seeking a Payer Enrollment Specialist to join their team. The Payer Enrollment Specialist will support the billing department while also performing follow-up actions to gather accurate information needed from payers and providers. The ideal candidate is someone who thrives in a fast-paced environment...


  • Cincinnati, Ohio, United States Biogensys Full time

    Job Title: Payer Enrollment SpecialistWe are seeking a highly skilled Payer Enrollment Specialist to join our team at Biogensys. As a Payer Enrollment Specialist, you will be responsible for the credentialing of physicians and allied health providers.Key Responsibilities:Complete and review Provider applications with accuracy and thoroughness.Ensure timely...


  • Cincinnati, Ohio, United States Pyramid Consulting Full time

    Payer Enrollment Specialist OpportunityWe are seeking a highly skilled Payer Enrollment Specialist to join our team at Pyramid Consulting, Inc. This is a contract opportunity with long-term potential and is located in Norwood, OH.Key Responsibilities:Complete and review Provider applications with accuracy and thoroughness, contact providers for application...


  • Cincinnati, United States Global Technical Talent Full time

    ATTENTION: Only accepting non-local / traveller candidates. Our client is not considering local candidates living within 50 miles of Norwood. Job Title: Payer enrollment specialist Contract Duration: 13 weeks Pay range: $30/hr -$32/hr Work Type: Onsite Shift: 7 AM - 4 PM, 32 - 40 hours/week Job Description: Are you a dedicated Payer Enrollment Specialist...


  • Cincinnati, United States NavitsPartners Full time

    Job Title: Payer Enrollment SpecialistLocation: Norwood, OH Contract Duration: 13 weeks Shift: 7:00 AM - 4:00 PM (32-40 hours per week) Schedule: Monday to Friday, fully onsite Job Summary: We are seeking a Payer Enrollment Specialist responsible for the credentialing and enrollment of physicians and allied health providers. The role involves ensuring the...


  • Cincinnati, Ohio, United States Artius Solutions Full time

    Job OverviewThe Payer Enrollment Specialist plays a critical role in supporting the enrollment and re-credentialing processes with managed care organizations, government agencies, and other payers. This position is responsible for ensuring the accuracy and timely submission of provider applications, maintaining provider databases, and communicating with...


  • Cincinnati, Ohio, United States Hire Evolution Consulting Full time

    Job SummaryWe are seeking a highly experienced Payer Enrollment Specialist to manage the credentialing and enrollment of physicians and allied health providers in a hospital system. This role requires exceptional attention to detail, strong knowledge of CAQH, and extensive experience in healthcare payer enrollment.Key Responsibilities:Accurately complete and...


  • Cincinnati, United States CRG Full time

    Payer Enrollment Specialist Summary: Our client, a leading healthcare provider dedicated to improving the health of their community, is seeking a Payer Enrollment Specialist to join their team. In this role you will be responsible for completing accurate and timely health plan enrollment requests on behalf of various clients. If you are looking for the...


  • Cincinnati, United States NavitsPartners Full time

    Job Title: Payer Enrollment Specialist Location: Norwood, OH 45212 Duration: 13 week contract Shift: 7AM-4PM 32-40 hours/week Shift Schedule: Day Business casual attireRequired: 3-5 Payer/Provider enrollment experience; Credentialing experience, and Excel Job Summary: A position responsible for the credentialing of physicians and allied health providers. Job...


  • Cincinnati, United States Pyramid Consulting Full time

    Immediate need for a talented Payer Enrollment Specialist. This is a 03+ Months Contract opportunity with long-term potential and is located in Norwood, OH (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID:24-44072 Pay Range: $30 - $32/hour. Employee benefits include, but are not limited to, health...


  • Cincinnati, Ohio, United States IDR Healthcare Full time

    IDR Healthcare is seeking a dedicated and experienced Payer Enrollment Specialist to join our team in Cincinnati, OH. This role is perfect for individuals with a strong background in payer enrollment within a health system or hospital setting. If you are looking for an opportunity to work within a large organization and contribute to a team-oriented culture,...


  • Cincinnati, Ohio, United States ICONMA Full time

    Key Responsibilities:Application Review and Processing: Thoroughly review and complete provider applications, ensuring accuracy and timeliness. Collaborate with providers to obtain necessary information and resolve discrepancies.Credentialing and Maintenance: Verify current licenses, maintain internal files, and ensure timely submissions of re-appointments...


  • Cincinnati, United States Prestige Development Group Full time

    Ready to take your career to new heights? Prestige Development Group, a leading US-based software development company, is here to make it happen. Specializing in custom web applications, contingent staffing, and federal contracting, we're at the forefront of innovation in desktop, mobile, and web-based applications. But what sets us apart isn't just our...


  • Cincinnati, Ohio, United States vodastra Full time

    Payer Enrollment Specialist Job SummaryWe are seeking a dedicated Payer Enrollment Specialist to support our team at Vodastra. This role is primarily responsible for the credentialing of physicians and allied health providers. The ideal candidate will possess strong attention to detail and extensive experience in credentialing processes.Key...


  • Cincinnati, United States Precision Staffing Services Full time

    *Job Summary* Apply fast, check the full description by scrolling below to find out the full requirements for this role. We are seeking a dedicated and detail-oriented Payer Enrollment Specialist to join our team. The ideal candidate will play a crucial role in managing the enrollment process for our providers, ensuring compliance with government standards...


  • Cincinnati, United States Precision Staffing Full time $32

    *Job Summary*Apply fast, check the full description by scrolling below to find out the full requirements for this role.We are seeking a dedicated and detail-oriented Payer Enrollment Specialist to join our team. The ideal candidate will play a crucial role in managing the enrollment process for our providers, ensuring compliance with government standards and...