Payer Credentialing Specialist

Sarah Bush Lincoln • Fuquay-Varina, NC

23d • $20 - $30 • Onsite

About The Position

Payer Credentialing Specialist work under the supervision of the Managed Care and Denial Director, and is responsible for aspects of credentialing processes for Health System Payers. Under the direction of the Director, processes and assists in providing Payers information regarding Health System locations and Providers. Department: Managed Care and Denials Hours: Part-Time, 24 hours a week required. Shift: 3 days a week. 8:00am -4:30pm or 7:00-3:30pm Location: Charleston, IL

Requirements

• High School (Required)

Responsibilities

• Enrolls/Maintains Health System Locations and Providers for Medicaid in IMPACT System.
• Enrolls/Maintains Health System Locations and Providers for Medicare in Provider Enrollment, Chain, & Ownership System (PECOS).
• Enrolls/Maintains Health System Locations and Providers information on Insurance roster templates and submits monthly to Payers.
• Enrolls/Maintains Health System Locations and Providers National Provider Identifier (NPI) records through the CMS National Plan and Enumeration System (NPPES).
• Enrolls/Maintains Health System Locations and Providers records in Council for Affordable Quality Healthcare (CAQH) system.

Benefits

• Career development is available through continuing education and on-site training, so come grow with us!
• Employees reap the benefit of our work culture which is steeped in professional and personal development programs.
• We have developed a solid benefit package to help retain our employees, while providing them opportunities to grow their careers.
• We support on-site classroom learning programs and internet courses, and we have a generous tuition reimbursement program-- all designed to help staff achieve their goals.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees