Payer Enrollment Specialist
1 month ago
We are seeking a highly experienced Payer Enrollment Specialist to manage the credentialing and enrollment of physicians and allied health providers in a hospital system. This role requires exceptional attention to detail, strong knowledge of CAQH, and extensive experience in healthcare payer enrollment.
Key Responsibilities:
- Accurately complete and review provider applications, ensuring all information is thorough and up-to-date.
- Communicate with providers to collect missing application details and work with government agencies and managed care companies to resolve discrepancies.
- Ensure timely submission of re-appointments and re-credentials, verifying all licenses are current, and maintaining accurate internal files.
- Regularly update and maintain the CAQH database.
- Collaborate closely with TCHMA Administration, Billing Department, and Office Managers for effective communication and follow-up.
- Perform other duties as assigned to support the enrollment and credentialing process.
Requirements:
- Candidate must be committed to a contract assignment and fully onsite work for 5 days a week.
- Flu shot is required prior to the start date.
- Experience in nursing, allied health, or agency credentialing will not be considered.
Work Schedule:
- Shift: 7 AM - 4 PM, 32-40 hours per week.
- Business casual attire required.
- Fully onsite position.
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