Payor Credentialing Specialist

Trinity Health•Columbus, OH

6d•Onsite

About The Position

Responsible for the efficient administration of credentialing/re-credentialing for large multi-specialty medical group and multiple hospital facilities. Coordinates the application and renewal of insurance credentialing and enrollment for multiple third-party payers. Maintains a variety of databases to support the credentialing and enrollment functions; acts as a liaison for providers, operations, revenue site operations, and professional billing for credentialing and enrollment processes. Provides dedicated support to the professional coding and billing teams.

Requirements

Must possess a comprehensive knowledge in practice and medical management, as normally obtained through an associate degree in a related field, and 3-5 years of professional office experience, including 2 years of medical billing experience with an understanding of Medicare, Medicaid, Health Maintenance Organization and Commercial insurance plans.

Nice To Haves

Prior experience with third-party payor credentialing, enrollment, or facility privileging preferred.

Responsibilities

Coordinates the facility privileging and re-privileging processes for Medical Group Providers, including but not limited to: facilitates information collection, completes application forms, coordinates submission of applications, and supports necessary follow-up, problem investigation and resolution.
Facilitates malpractice application and renewal processes for all employed providers, including annual updates to payers and healthcare facilities.

Benefits

Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
Retirement savings account with employer match starting on day one.
Generous paid time off programs.
Employee recognition programs.
Tuition/professional development reimbursement starting on day one.
RN to BSN tuition 100% paid at Mount Carmel’s College of Nursing.
Relocation assistance (geographic and position restrictions apply).
Employee Referral Rewards program.
DailyPay - if you’re hired as an eligible colleague, you’ll be able to see how much you’ve made every day and transfer your money any time before payday.
Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.