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Job Requirements of Payer Enrollment Specialist:
-
Employment Type:
Contractor
-
Location:
Norwood, OH (Onsite)
Do you meet the requirements for this job?
Payer Enrollment Specialist
Careers Integrated Resources Inc
Norwood, OH (Onsite)
Contractor
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:
-3-5 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
Schedule - Start Date:
11/11/2024
Hours Per Week:
40.00
Hours Per day:
8.00
Days Per Week:
5.00
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 Physician/ Advanced Practice Payer enrollment, in a hospital setting
Not with an insurance company -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-week contract This position is fully onsite; remote work is not available Start date: 10/21/2024 Shift: 7AM-4PM 32-40 hours/week Business casual attire
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:
-3-5 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
Schedule - Start Date:
11/11/2024
Hours Per Week:
40.00
Hours Per day:
8.00
Days Per Week:
5.00
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 Physician/ Advanced Practice Payer enrollment, in a hospital setting
Not with an insurance company -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-week contract This position is fully onsite; remote work is not available Start date: 10/21/2024 Shift: 7AM-4PM 32-40 hours/week Business casual attire
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