Payer Enrollment Specialist - EmergiTEL HR Solutions Inc
Norwood, OH 45212
About the Job
Terms - 13 weeks contract
Location - 2100 Sherman Ave, Norwood, OH 45212, USA
Start date: 10/21/2024
Shift - 8 hours day ( 7AM-4PM 32-40 hours/week)
Duties
Job Summary:
A position responsible for the credentialing of physicians and allied health providers.
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 TCHMA Administration, Billing Dept. and Office Managers.
-Maintain accuracy of and update CAQH database.
-All other duties as assigned.
Skills
Required Skills & Experience:
-5+ years experience in credentialing.
-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.
Preferred Skills & Experience:
-N/A
Education
Required Education:
-High School Diploma or equivalent.
Preferred Education:
-Some college education preferred (degree not required)
Requirements: -Must have 5+ years of experience in Payer enrollment in a health system/hospital setting.
-Strong CAQH knowledge
-Strong Excel experience
-Cactus/ Symplr experience
-Attention to details
-Must have worked previously in a hospital system
Will not accept any Nursing, allied or agency credentialing specialist experience.
Preferred: Cactus/Symplr, CAQH experience