Payer Enrollment Specialist
4 weeks ago
Credentialing and Provider Enrollment Expert
Cortex consultants LLC is seeking a skilled Credentialing and Provider Enrollment Expert to join our team. The ideal candidate will have experience in credentialing and provider enrollment, with a strong understanding of the healthcare industry.
Key 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.
- Follow up and communicate regularly with TCHMA Administration, Billing Dept. and Office Managers.
- Maintain accuracy of and update CAQH database.
Requirements:
- 5+ years experience in credentialing.
- Excellent computer skills, to include word processing, spreadsheet and database management.
- Ability to work under pressure and adaptability to change.
- Attention to detail and accuracy are essential.
Preferred Qualifications:
- N/A
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
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