Payer Enrollment Specialist

Payer Enrollment Specialist

  Not Disclosed

  Norwood, OH

  3.0 Months

  Not Disclosed

  Not Disclosed

  Government - Local

Job Description

Description :

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 clients 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 re-appointments and re-credentials, verifies all licenses are current, and maintains internal files, including copies of current credentials.
-Follow up and communicate regularly with the client Administration, Billing Dept. and Office Managers.
-Maintain accuracy of and update CAQH database.
-All other duties as assigned.

Skills

Required Skills & Experience:

-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).

Requirements:

-Must have 5+ years of experience in Payer enrollment in a health system/hospital setting.
-Strong CAQH knowledge
-Strong Excel experience
-Cactus/ Symplr experience
-Attention to details
-Must have worked previously in a hospital system
Will not accept any Nursing, allied or client credentialing specialist experience.

Preferred:

Cactus/Symplr, CAQH experience.
Business casual attire


Note :

Shift: 7AM-4PM 32-40 hours/week
This position is fully onsite
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status