ON-SITE Credentialing and Enrollment Specialist

Description

In this vital role, you will be responsible for ensuring accurate and timely credentialing of healthcare professionals and managing their enrollment processes with various insurance payors. Your expertise will help maintain compliance and support our commitment to providing access to high-quality patient care.

Key Responsibilities:

- Verify and maintain the credentials of healthcare professionals, including licenses, certifications, and educational qualifications

- Manage the enrollment process of healthcare providers with multiple payor insurance plans

- Ensure timely submission of credentialing and re-credentialing applications

- Communicate effectively with Credentialing Verification Organization, healthcare providers, insurance companies, and internal teams to resolve issues

- Monitor and track credentialing and enrollment statuses to ensure compliance with regulatory requirements

Skills and Qualifications:

- Strong organizational and administrative skills with attention to detail

- Excellent communication and interpersonal skills

- Ability to manage multiple tasks and meet deadlines in a fast-paced environment

- Proficiency in Microsoft Office Suite

- Proven experience in healthcare credentialing and insurance enrollment preferred

- Knowledge of healthcare regulations and payor requirements preferred

We offer a collaborative work environment, opportunities for professional growth, and a comprehensive benefits package. 

Requirements

Required: 

AA degree

1+ years' experience in a healthcare setting

Preferred: 

Bachelor's degree in healthcare administration or related field

1+ years' experience in credentialing and enrollment