Payer Enrollment Specialist
Payer Enrollment Specialist
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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.
Skills
- 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.
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
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
Duration: 13 weeks contract
This position is completely onsite; remote work is not available.
Education: High School Diploma
Shift Timings : 7AM4PM 3240 hours/week
Hours per Week : 3240 hours per week
Preferred: CPCS certified
ATD Technology LLC is a certified minority woman owned business that creates opportunities to match qualified individuals with client programs while meeting all parties financial and technical goals. ATD is a full service provider with offerings in Contract Permanent and TemptoPerm staffing solutions. We serve Fortune 1000 mid cap and small cap companies in the Commercial Public and Government sectors.
Employment Type
Full Time
