Enrollment Specialist

1 week ago


King of Prussia, Pennsylvania, United States UHS Full time
Job Summary

The Enrollment Specialist plays a critical role in ensuring that physicians are enrolled in and maintain active credentialing status with governmental agencies and commercial managed care insurers/networks. This position requires a comprehensive understanding of the managed care industry, including physician credentialing and contracting requirements.

Key Responsibilities
  • Manage credentialing activities for initial credentialing, re-credentialing, and credentials modification.
  • Communicate effectively with internal departments, physicians, and managed care companies to achieve the necessary results required in the credentialing process.
  • Develop and maintain relationships with managed care payers to ensure timely and accurate credentialing.
  • Stay up-to-date with changing regulations and industry developments to ensure compliance and optimal credentialing outcomes.
Requirements
  • High School Diploma/GED required; Bachelor's degree preferred.
  • 3-5 years of experience with physician credentialing and/or physician contracting requirements in a managed care environment.
  • Comprehensive knowledge of the managed care industry, including physician credentialing and contracting requirements.
  • Ability to communicate effectively both verbally and in writing.
What We Offer
  • A challenging and rewarding work environment.
  • Competitive compensation and generous paid time off.
  • Excellent medical, dental, vision, and prescription drug plans.
  • 401(K) with company match.

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