Enrollment & Credentialing Specialist

HEALTHSOURCE OF OHIO • Loveland, OH

27d

About The Position

HealthSource of Ohio is a not-for-profit community health center in Southwestern Ohio that provides quality, patient-centered primary and preventative care for all. Our employees are dedicated to the belief that every patient deserves to be treated with respect, dignity, and equality, irrespective of their race, religion, economic status, or ability to pay.

Check out what HSO employees have to say about working for HealthSource of Ohio:

I am thankful to work for a great company that treats their employees as one of their own!!!
Medical Assistant/Receptionist, Mt. Orab

HSO has been a breath of fresh air since the moment I arrived. I have never worked for an organization that values their employees so much! Instead of feeling replaceable, and like you are never "doing enough", I am thanked for my work often. Staff is very familiar with "upper management" and they usually know us all by name! I never dread coming to work and am proud to work for an organization that values their staff as much as their patients!
Care Coordinator, Loveland

Visit our social media to learn more about HSO.

Requirements

• High School Diploma or Equivalent required
• 2 years of relevant credentialing and payer enrollment experience required

Nice To Haves

• Certified Provider Credentialing Specialist (CPCS) preferred

Responsibilities

• Facilitates provider and facility payer credentialing and re-credentialing
• Maintains current provider required documentation in accordance with payer requirements.
• Completes provider and facility payer credentialing and re-credentialing applications monitors applications and follow-up as needed.
• Maintains knowledge of current health plan and agency requirements for payer credentialing/enrollment
• Sets up and maintains provider information in online credentialing databases and systems, including CAQH
• Maintains and updates credentialing reports
• Communicates health plan coverage changes, additions, deletions across HealthSource and Centerprise.
• Assists billing staff on issues pertaining to payer credentialing denials.

Benefits

• Competitive pay with eligible incentive bonuses & yearly merit increases
• Structured schedules for work-life balance with Paid Time off & Long-Term Sick Bank hours
• Full Health Benefits Package, Courtesy Care Benefits & HSA funds
• Student Loan Forgiveness program & tuition reimbursement
• Employer contribution driven retirement plan
• Complimentary scrubs

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED