Credentialing Specialist / Payer Enrollment Specialist

Duties Include:

• Submitting initial and re-credentialing enrollment applications for payor HMO enrollment.
• Submitting initial and re-credentialing enrollment application for Medicare and Medicaid enrollment.
• Follow up and checking status of submitted applications with payors.
• Track and follow-up to obtain provider ID numbers and effective dates.
• Develop working knowledge of payors enrollment process for multiple states.
• Serve as a liaison between billing department and the payors on troubleshooting claims denials due to provider enrollment issues.
• Maintain matrix of all facility and provider expiring credentials need for provider enrollment.
• Maintain high level of organization while being extremely focused on details.
• Other duties as assigned

Requirements:

• Efficient in using computer software applications (i.e. Excel, Word, Outlook)
• Ability to meet time-sensitive deadlines and multi-task work priority and projects
• Excellent written and verbal communication skills
• Strong trouble-shooting and problem solving skills
• Strong attention to detail
• Strong team player attitude
• Able to work on team project as well as individually

Details:

Work schedule: Monday - Friday 8:00 am - 4:30pm

Company offers competitive salary and excellent benefits package including:

Paid Time off
Paid Holidays
Medical, Dental, Life and Long Term Disability Insurance
401K Plan

Credentialing

Credentialing

credentialing

third party revenue cycle

RCM

Medix is acting as an Employment Business in relation to this vacancy.