Payer Enrollment Specialist - Precision Staffing

Job Summary
We are seeking a dedicated and detail-oriented Payer Enrollment Specialist to join our team. The ideal candidate will play a crucial role in managing the enrollment process for our clients, ensuring compliance with medical office standards and managed care requirements. This position requires a strong understanding of medical terminology and the ability to communicate effectively with patients and healthcare providers.

Duration: 13-week contract

This position is fully onsite; remote work is not available

Start date: 10/21/2024

Shift: 7AM-4PM 32-40 hours/week

Attire: Business casual

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 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.

Skills

• 3-5 years’ experience in credentialing.
• Strong CAQH knowledge
• Strong Excel experience
• Cactus/ Symplr experience
• Attention to details
• Must have worked previously in a hospital system
• 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

• High School Diploma or equivalent.

Preferred Education:

• Some college education preferred (degree not required).

If you are passionate about helping others navigate their healthcare journey and possess the required skills, we encourage you to apply for this rewarding opportunity as an Enrollment Specialist.