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Provider Enrollment Specialist

2 months ago

Tampa Florida, United States United Vein & Vascular Centers Full time
About United Vein & Vascular Centers

We are a rapidly expanding healthcare innovator dedicated to providing state-of-the-art, minimally invasive vein and vascular care. Our mission is to transform lives by raising the bar for patient service and outcomes.

Job Summary

We are seeking a highly skilled Provider Enrollment Specialist to support our Physician and healthcare professionals credentialing process. The successful candidate will be responsible for ensuring accurate and thorough credentialing applications for provider enrollment into health insurance networks.

Key Responsibilities
  • Complete credentialing applications accurately and thoroughly for provider enrollment into health insurance networks.
  • Review provider documents and compare against payer requirements to ensure completeness.
  • Research and correct directory listing errors and payer participation issues.
  • Frequent follow-ups with payer contacts to obtain credentialing and contracting statuses.
  • Outreach to providers, as needed, to obtain signatures or missing documents.
  • Organize provider files and update credentialing status in project management software platform.
  • Obtain payer fee schedules.
  • Continuously look for process improvements to increase efficiency.
  • Handle confidential information with the utmost discretion.
  • Demonstrate and promote a work culture committed to UVVC's Core Values: Understanding, Nurturing, Ingenuity, Trust, Excellence, and Diversity.
  • Maintain the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations.
Requirements
  • High school diploma or GED required. Some college or AA degree preferred.
  • Minimum of 3 years physician credentialing experience required.
  • Attention to detail and high-quality work product.
  • Excellent written and verbal communication skills.
  • Positive can-do attitude and eagerness to learn.
  • Ability to learn new processes and new software programs with ease.
  • Must be able to demonstrate extreme confidentiality in the role.