Payer Enrollment Specialist
2 weeks ago
United Community & Family Services, Inc. is seeking a highly motivated and detail-oriented Payer Enrollment Specialist to join our team. The ideal candidate will be responsible for the insurance enrollment and credentialing process for all new and established providers, and maintenance of information to include application completion, follow up, setup in participating insurance contracts.
Key Responsibilities:- Collect and maintain providers' credentials and supporting documentation for the purpose of enrolling individual providers with payers.
- Maintain CAQH electronic database of provider information and credentials. Work with enrolled providers to ensure ongoing attestations are completed in a timely manner.
- Maintain good rapport and professional communication with all providers, Credentialing Specialist, internal stakeholders, and Health Plan Representatives.
- Ensure all providers are credentialed with insurance companies at all times to allow for maximum reimbursement of services rendered, to include completing all insurance company/contract forms related to provider credentialing and submits in a timely manner; tracks and follow up on all credentialing applications to ensure timely processing; communicate status to management staff.
- Update participating provider list, including supervisory changes, on an ongoing basis to ensure accuracy in billing and scheduling.
- Fully remote In Eastern Standard Time only
- High school diploma or equivalent
- Minimum of 2 years of experience in healthcare payer enrollment/physician billing
- Experience with Federally Qualified Health Center (FQHC) billing and credentialing processes.
- Strong attention to detail and ability to manage multiple tasks simultaneously and independently
- Excellent communication and interpersonal skills
- Working knowledge of EPIC and/or Credential Stream preferred
- Experience with the Medicare PECOS system preferred
- All employees at UCFS are required to be vaccinated against COVID-19
- Flexible schedules
- Competitive salaries
- Generous paid time off including 3 weeks vacation, 5 floating holidays and 10 sick days each year
- Medical, dental and vision insurance
- 401(k) plan with 6% employer contribution
- Paid life and disability insurance
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