Payer/Provider Enrollment Specialist

3 weeks ago

Norwood, United States Precision Staffing Full time
*Job Summary*
We are seeking a dedicated and detail-oriented Payer Enrollment Specialist to join our team. The ideal candidate will play a crucial role in managing the enrollment process for our providers, ensuring compliance with government standards and managed care requirements. This position requires a strong understanding of medical terminology and provider credentials, and the ability to communicate effectively with healthcare providers and government agencies.

*Must have 5+ years of experience in Physician/ Advanced Practice Payer enrollment, in a hospital setting. *

*Duration: *13-week contract

*This position is fully onsite; remote work is not available*

*Start date:* 10/21/2024

*Shift: *7AM-4PM 32-40 hours/week

*Attire:* Business casual

*Skills*
* 3-5 years’ experience in credentialing.
* Strong CAQH knowledge
* Strong Excel experience
* Cactus/ Symplr experience
* Attention to details
* Must have worked previously in a hospital system
* Excellent computer skills, to include word processing, spreadsheet and database management.
* Ability to work under pressure and adaptable to change.
* Attention to detail and accuracy are essential.

*Job Responsibilities:*
* Complete and review Provider applications with accuracy and thoroughness, contact providers for application information when necessary, contact government agencies and managed care companies to obtain status and resolve discrepancies related to provider applications, and follow-up with physicians and assist with completing applications.
* Ensure timely submissions of all re-appointments and re-credentials, verifies all licenses are current, and maintains internal files, including copies of current credentials.
* Follow up and communicate regularly with facility administration, Billing Dept. and Office Managers.
* Maintain accuracy of and update CAQH database.
* All other duties as assigned.

*Education*
* High School Diploma or equivalent.

*Preferred Education:*
* Some college education preferred (degree not required).

If you are passionate about helping others navigate their healthcare journey and possess the required skills, we encourage you to apply for this rewarding opportunity as an Enrollment Specialist.

#HC

Job Types: Contract, Temporary

Pay: Up to $31.50 per hour

Expected hours: 32 – 40 per week

Benefits:
* Dental insurance
* Health insurance
* Vision insurance
Schedule:
* 8 hour shift
* Day shift

Experience:
* CAQH database: 1 year (Required)

Ability to Commute:
* Norwood, OH 45212 (Required)

Work Location: In person

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