Payer Enrollment Specialist - PES0911CH#00001


OH - Norwood Location
Norwood, Ohio
Locations: Norwood, Cincinnati, Dayton, Sharonville
Posted On: September 11, 2024
Last Day to Apply: September 25, 2024

Job Title: Payer Enrollment Specialist 
Location: Norwood, OH 45212
Duration: 13 week contract
Shift: 7AM-4PM 32-40 hours/week
Shift Schedule: Day
Business casual attire

Required: 3-5 Payer/Provider enrollment experience; Credentialing experience, and Excel

Job Summary: A position responsible for the credentialing of physicians and allied health providers.

Job Responsibilities:

  • Complete and review Provider applications with accuracy and thoroughness, contact providers for application information when necessary, contact government agencies and managed care companies to obtain status and resolve discrepancies related to provider applications, and follow-up with physicians and assist with completing applications.
  • Ensure timely submissions of all reappointments and recredentials, verifies all licenses are current, and maintains internal files, including copies of current credentials.
  • Follow up and communicate regularly with client's Administration, Billing Dept. and Office Managers.
  • Maintain accuracy of and update CAQH database.
  • All other duties as assigned.

Required Skills & Experience:

  • 3-5 years’ experience in credentialing.
  • Excellent computer skills, to include word processing, spreadsheet and database management.
  • Ability to work under pressure and adaptable to change.
  • Attention to detail and accuracy are essential.

Education:

  • Required Education: High School Diploma or equivalent.
  • Preferred Education: Some college education preferred (degree not required).

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