Payer Enrollment Specialist
Payer Enrollment Specialist
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Job Description
We are hiring a Payer Enrollment Specialist for one of our clients in Norwood OH.
Job Description:
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 followup with physicians and assist with completing applications.
- Ensure timely submissions of all reappointments and recredentials 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.
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.
- 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
Required Education:
- High School Diploma or equivalent.
Preferred Education:
- Some college education preferred (degree not required).
Submittal Requirements:
Please do not submit any candidate who is not agreeable to all of these requirements:
- Candidate must be open to a 13week contract
- Candidate must be open to working fully onsite in the office
- Candidate must be open to obtaining a Flu Shot prior to starting
- Must have 5 years of experience in Payer enrollment in a health system/hospital setting.
Schedule Notes:
- Please confirm with each candidate the following questions.
- Is this candidate committed to a contract assignment
- Is this candidate committed to working onsite 5 days a week
- Is this candidate committed to obtaining a Flu shot prior to starting
Work hours:
- Shift: MondayFriday
- 7:00 AM 4:00 PM
- Hours: 3240 hours per week
Additional information:
- Duration: 13 weeks contract
- This position is completely onsite; remote work is not available.
- Attire: Business casual attire
- Shift Schedule: Day
Will not accept any Nursing allied or agency credentialing specialist experience.
About Us:
We are specialized in recruiting and deliver the best professional talent of industry and we are committed to deliver best experience for our clients and job seekers. With over two decades of experience in the recruitment industry we proudly help you to find the next job that matches your professional skills. Our team understands your needs or requirement before starting the recruitment that enables to find the high quality of talent with high success rate of talent delivery keeps us continue to be the best in the industry. By responding to this job posting you are consenting to receive text/SMS messages from us. Thank you.
Employment Type
Full Time
