Provider Enrollment Coordinator
About The Position
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position SummaryResponsible for reviewing and processing credentialing applications and supporting documentation for the purpose of enrolling individual physicians and physician groups with payers. Responsible for accurate and timely processing of Part B provider enrollment applications.
Requirements
- 3 years of experience in a centralized credentialing office and direct provider enrollment experience, such as credentialing or file maintenance, preferred with experience in Word and Excel
- Knowledge of health plan and governmental payer credentialing, enrollment and requirements acquired through completion of a CPCS certification course, or sufficient job-related experience with intent to pursue certification.
- Knowledge of Microsoft Word and other PC applications including preferred experience in a medical staff electronic database system, i.e. MD Staff.
- Knowledge of PECOS and State Medicaid Enrollment applications
- Knowledge of standards interpretation as related to NCQA
Nice To Haves
- Previous experience with MD Staff and CAQH system
Responsibilities
- Responsible for reviewing and processing credentialing applications and supporting documentation for the purpose of enrolling individual physicians and physician groups with payers.
- Responsible for accurate and timely processing of Part B provider enrollment applications.
Benefits
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Ambulatory Health Care Services
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
