Job Description
Job Description
Title: Provider Enrollment Specialist
Reports to: Director of Credentialing
FLSA Classification: Non-Exempt
Full-Time
Salary Range: $25 to $27
Position Overview: As an Enrollment Specialist, your primary responsibility is to ensure that payer enrollments are submitted timely, and follow-up is done regularly until assigned tasks are completed. This involves working directly with physicians/staff, maintaining notes and documentation in credentialing system, and master spreadsheet.
Responsibilities and Duties:
- Coordinating all managed care credentialing activities to ensure provider participation status; credentialing activities require substantial contact with outside agencies
- Preparing credentialing and re-credentialing applications on behalf of providers for submission to managed care companies and other agencies
- Maintaining necessary logs, lists, records, and current documentation required for provider credentialing and re-credentialing
- Verifying physician/provider information for managed care plans including communication with health plan representatives and other staff as necessary
- Following up with managed care companies to ensure expedient credentialing
- Preparing and completing applications, link letters and spreadsheets to managed care organization specifications
- Maintaining relationships with external managed care organization and clients as required
- Other duties as assigned
Skills and Competencies:
- Highly self-motivated, preferably with some expertise in the healthcare physician credentialing, expirable management, re-credentialing, provider enrollment environment, or medical industry in general
- Success-driven and results-oriented, with the ability to implement and manage cross-functional projects
- Proficiency with credentialing systems and ability to learn new systems/processes quickly
- Ability to interact effectively with a variety of people (including physicians & medical staff offices)
- Provide highest level of customer service for both internal and external customers
- Strong written and verbal communication skills, along with strong presentation and client interaction skills
- Ability to prioritize tasks and projects
- Accurate discernment on when to act independently and when to ask for guidance and/or assistance
- Consistently demonstrate flexibility, a customer-focus, terrific organizational skills and a passion for details
Additional information:
Coronis Health is committed to creating a diverse and inclusive environment where all employees are treated fairly and with respect. We are an equal-opportunity employer, providing equal opportunities to all applicants and employees regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected characteristic. We welcome and encourage applications from candidates of all backgrounds.