Payor Enrollment Specialist
About The Position
We are dedicated to providing exceptional care to every patient, every time. St. Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke’s Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades. Perform the enrollment process for new employed physicians, nurse practitioners and physician assistants (providers) Assist with re-credentialing for all established employed providers-both medical group and hospital based (Approx 400) with various managed care plans and government programs. Coordinate completion of enrollment forms, accessing and update CAQH database, and working with physicians to complete the enrollment/participation process with the various payers and plans. Assist with physician mailings, maintains open lines of communications with Health Plans and familiarity with governmental and managed care plan credentialing processes. Superior communication and follow up skills required.
Requirements
- High School Diploma or equivalent
- 2 years of healthcare credentialing and payor experience
- Superior communication and follow up skills required
Responsibilities
- Perform the enrollment process for new employed physicians, nurse practitioners and physician assistants (providers)
- Assist with re-credentialing for all established employed providers-both medical group and hospital based (Approx 400) with various managed care plans and government programs.
- Coordinate completion of enrollment forms
- Accessing and update CAQH database
- Working with physicians to complete the enrollment/participation process with the various payers and plans
- Assist with physician mailings
- Maintains open lines of communications with Health Plans
- Familiarity with governmental and managed care plan credentialing processes
Benefits
- Day one benefits package
- Pension Plan & 401K
- Competitive compensation
- FSA & HSA options
- PTO programs available
- Education Assistance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
