Payor Enrollment and Credentialing Specialist
7 days ago
Job Overview:
We are looking for a highly skilled Credentialing/Payor Enrollment Specialist to join our team at PeopleShare. As a key member of our organization, you will play a crucial role in ensuring the smooth operation of our payor enrollment processes.
Key Responsibilities:
- Submit initial and re-credentialing enrollment applications for payor HMO, Medicare, and Medicaid enrollments
- Track and follow up on submitted applications with payors, ensuring timely processing and tracking provider ID numbers and effective dates
- Serve as a liaison between the billing department and payors to troubleshoot claims denials related to provider enrollment issues
- Maintain a matrix of all facility and provider expiring credentials needed for provider enrollment
- Ensure a high level of organization and attention to detail in all credentialing tasks
Salary and Benefits:
We offer a competitive salary of $20-$22 per hour, with potential for higher pay based on experience. You will also have access to a positive, team-oriented environment with a focus on personal and professional success.
Requirements:
- At least 1 year of credentialing experience; 2-4 years preferred
- Familiarity with payor portal software (a plus)
- Proficiency in computer software (Excel, Word, Outlook)
- Strong organizational skills and ability to manage multiple projects under time-sensitive deadlines
- Excellent written and verbal communication skills
- Ability to work both independently and as part of a team
- High school diploma or GED required
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