Provider Enrollment Specialist
US Physical Therapy•Houston, TX
About The Position
We are seeking a credentialing candidate that is a highly motivated, autonomous individual who has a positive attitude to join our company as a Credentialing Specialist on the Managed Care Operations team.
Requirements
- Minimum of 3-5 years’ experience credentialing providers
- Health plan knowledge and familiarity required credentialing all payor types: Managed Care, Medicare & Medicaid Replacements & Workers Compensation
- Experience utilizing & maintaining credentialing database
- Highly knowledgeable & proficient with CAQH database.
- Familiarity with CAQH Practice Administrator role.
- Have established relationships with credentialing reps at various health plans
- Customer service oriented & easily able to develop relationships.
- Will have a detail-oriented and motivated work ethic, as well as capable of managing projects in a timely manner to meet set deadlines
- Possess excellent organizational, interpersonal, and communication skills
- MS Word, Excel & Access skills required
Responsibilities
- Prepare and process credentialing applications for all payor types
- Experience credentialing multi-Tax ID entities
- Comfortable processing high volume credentialing applications & recredentialing applications
- Meet and adhere to company’s turnaround time and comply with credentialing goals and performance metrics
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
