We are seeking a highly skilled Credentialing and Enrollment Specialist to join our team at Tulane University Staff. This role is responsible for ensuring the smooth enrollment and credentialing process for physicians in our contracted Managed Care and Governmental Health Insurance Plans.

• Manage the enrollment and credentialing process for physicians, including data collection, verification, and submission to relevant authorities.
• Collaborate with Business Services Staff to resolve provider enrollment and credentialing issues.
• Work with large volumes of data to meet initial and follow-up deadlines.
• Interface with TUHC and credentialing vendors for delegated credentialing.

• High School Diploma
• 5 years of experience in Credentialing and Enrollment work
• Familiarity with Managed Care Health Insurance Plans, especially credentialing procedures.
• Experience with government payers, especially Provider Enrollment guidelines.
• Excellent knowledge of required documentation for provider credentialing to Hospital Services Corporations and other outside credentialing agencies.
• Ability to complete and maintain staff rosters with new enrollment and terminated providers for over 500+ providers.

Selected candidates must complete and pass a background check and an occupational health screening as a condition of employment. For identified jobs, a drug screening will also be required.