Payor Relation Enrollment Specialist (Hybrid) - CBO Phys Payor Enrollment - Part Time - Days
- Req #: 10432
- Address: 2100 Sherman Ave
- City, State: Norwood, OH
- Zip: 45212
- Shift: Day
Job Description
This position is responsible for the Credentialing of physicians and allied health providers.
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 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 TCHMA Administration, Billing Dept. and Office Managers.
Maintain accuracy of and update CAQH database.
All other duties as assigned.
Qualifications
EDUCATION: High School diploma or equivalent. Some college preferred.
YEARS OF EXPERIENCE: 3-5 years of experience in credentialing
REQUIRED SKILLS AND KNOWLEDGE: 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.
This position is responsible for the Credentialing of physicians and allied health providers.
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 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 TCHMA Administration, Billing Dept. and Office Managers.
Maintain accuracy of and update CAQH database.
All other duties as assigned.
Qualifications
EDUCATION: High School diploma or equivalent. Some college preferred.
YEARS OF EXPERIENCE: 3-5 years of experience in credentialing
REQUIRED SKILLS AND KNOWLEDGE: 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.
