Payer Enrollment Specialist

1 week ago


Norwood, Ohio, United States Equiliem Full time
Payer Enrollment Specialist Job Summary

A key role in our organization, the Payer Enrollment Specialist is responsible for the credentialing of physicians and allied health providers. This position requires strong organizational and communication skills, as well as the ability to work accurately and efficiently in a fast-paced environment.

Key Responsibilities:
  • Complete and review Provider applications with accuracy and thoroughness, ensuring all necessary information is obtained and verified.
  • Communicate regularly with TCHMA Administration, Billing Dept., and Office Managers to ensure seamless coordination and timely submissions.
  • Maintain accuracy of and update CAQH database, ensuring all provider information is up-to-date and compliant with regulatory requirements.
  • Follow up and communicate regularly with providers to ensure timely completion of applications and resolution of any discrepancies.
Requirements:
  • 3-5 years' experience in credentialing, with a strong understanding of healthcare provider enrollment processes and regulations.
  • Excellent computer skills, including word processing, spreadsheet, and database management.
  • Ability to work under pressure and adapt to changing priorities and deadlines.
  • Attention to detail and accuracy are essential in this role.
About Equiliem

Equiliem is a leading provider of workforce solutions, specializing in clinical, non-clinical, and allied personnel. We excel in all levels, disciplines, and specialties within the healthcare spectrum, and our projects range from short to long-term local and travel assignments. We are proud to have earned the prestigious Joint Commission accreditation for staffing firms and have been recognized as a certified small business enterprise.

We offer a range of benefits to our workers, including medical insurance, vision and dental insurance, life insurance, 401K, commuter benefits, employee discounts and rewards, and payroll payment options.



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