Revenue Cycle Payer Enrollment Specialist
Posted 18ds ago
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Job Description
Revenue Cycle Payer Enrollment Specialist responsible for coordinating and monitoring provider credentialing. Engaging with providers and teams to ensure compliance with healthcare standards and timely renewals.
Responsibilities:
- Coordinates, completes, and monitors the provider/facility payer credentialing process
- Processes credentialing and re-credentialing applications for health care providers
- Sends, reviews, and verifies credentialing applications
- Loads and maintains provider information in an online credentialing database system
- Tracks license and certification expirations for medical staff to ensure timely renewals
- Handles and resolves inquiries regarding credentialing information, process, or status
Requirements:
- Associate’s degree; equivalent combination of education and experience will be considered
- Current Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff Management (CPMSM) by the National Association of Medical Staff Services (NAMSS) or obtained within two (2) years of hire
- Two (2) years of healthcare experience
- One (1) year of payer credentialing experience
Benefits:
- Professional development
- Flexible work arrangements
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