Payer Enrollment Specialist
Payer Enrollment Specialist
Posted on :
31-10-2024
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Job Description
MARS Solutions Group is looking for an experienced Payer Enrollment Specialist for a client in Norwoods OH. Our client is a wellknown and highly respected health care company seeking bright techsavvy talent. Join a strong innovative and growing team with impressive employee perks.
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.
This position is fully onsite; remote work is not available
Shift: 7AM4PM 3240 hours/week
Business casual attire
Shift Schedule: Day
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 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 Client Administration Billing Dept. and Office Managers.
Maintain accuracy of and update CAQH database.
All other duties as assigned.
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 Client 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.
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).
Required Certifications & Licensure:N/A
Preferred Certifications & Licensure:N/A
About MARS Solutions Group: MARS Solutions Group is a contingent staffing firm with access to a wide variety of jobs at various clients across the country. We operate with the consultants best interests in mind and align them with roles that match their skills aspirations and interests. MARS values our relationships with consultants. Therefore we will stay in touch throughout the duration of the contract to ensure the job is going well and that the role meets their career development needs.
Employment Type
Full Time
Key Skills
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