Provider Enrollment Specialist

Coronis Health • North Augusta, SC

11h • $22 - $27

About The Position

As an Enrollment Specialist, your primary responsibility is to ensure that payer enrollments are submitted timely, and follow-up is done regularly until assigned tasks are completed. This involves working directly with physicians/staff, maintaining notes and documentation in credentialing system, and master spreadsheet.

Requirements

• Highlyself-motivated,preferablywithsomeexpertiseinthehealthcarephysician credentialing,expirablemanagement, re-credentialing, provider enrollment environment, or medical industry in general
• Success-drivenandresults-oriented,withtheabilitytoimplementandmanage cross-functional projects
• Proficiencywithcredentialingsystemsandabilitytolearnnewsystems/processesquickly
• Abilitytointeracteffectivelywithavarietyofpeople(includingphysicians&medical staff offices)
• Provide highest level of customer service for both internal and externalcustomers
• Strongwrittenandverbalcommunicationskills,alongwithstrongpresentationand client interaction skills
• Ability to prioritize tasks andprojects
• Accuratediscernmentonwhentoactindependentlyandwhentoaskforguidance and/orassistance
• Consistentlydemonstrateflexibility,acustomer-focus,terrificorganizationalskills and a passion for details

Responsibilities

• Coordinating all managed care credentialing activities to ensure provider participationstatus;credentialingactivitiesrequiresubstantialcontactwithoutsideagencies
• Preparingcredentialingandre-credentialingapplicationsonbehalfofprovidersfor submission to managed care companies and other agencies
• Maintainingnecessarylogs,lists,records,andcurrentdocumentationrequiredfor provider credentialing and re-credentialing
• Verifying physician/provider information for managed care plans including communicationwithhealthplanrepresentativesandotherstaffasnecessary
• Following up with managed care companies to ensure expedient credentialing
• Preparingandcompletingapplications,linklettersandspreadsheetstomanaged care organization specifications
• Maintainingrelationshipswithexternalmanagedcareorganizationandclientsasrequired
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed