Payer Enrollment Specialist - TEKsystems

Healthcare Payer Enrollment Specialist

100% On-Site - Cincinnati, OH

$20-30/hr based on experience

Job Description:

• The Healthcare Enrollment Specialist will 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 Billing Dept. and Office Managers.
• Maintain accuracy of and update CAQH databases.
• This is a full-time contract job opportunity with benefits!

Schedule: 7:00 AM - 4:00 PM Monday - Friday

Additional Skills & Qualifications:

• 5+ years experience in Physician / Advance Practice Payer Enrollment (Hospital Setting, NOT insurance company)
• Strong CAQH knowledge
• Strong Excel experience
• Cactus / Symplr experience
• Must have worked previously in a hospital system
• NO nursing, allied, or agency credentialing specialist experience

Experience Level:

Intermediate Level

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.