Provider Credentialing & Payer Enrollment Specialist
Kingman, AZ, United States
USD 36K-42K (estimate) Entry-level Full Time
Tasks
- Collaborate with billing and collection teams
- Collect and verify provider credentialing data
- Coordinate payer enrollment software upgrades
- Coordinate third party vendor documentation
- Facilitate payer enrollment process
- Follow up with insurance carriers and networks
- Maintain CAQH attestations
- Maintain payer enrollment files
- Monitor insurance plan requirements
- Monitor license expirations
- Navigate governmental websites
- Notify stakeholders of credentialing status changes
- Obtain provider sanctions complaints and adverse data
- Perform primary source verification
- Process provider maintenance in HIS systems
- Request and coordinate application materials
- Review state reports for corrections
- Submit new provider packets within required timelines
- Support internal credentialing and enrollment process development
- Update facility payer enrollment with payers
- Update provider rosters and membership directories
Perks/Benefits
- 403(b) pension plan
- Employee assistance program
- Employee discounts
- Employee recognition
- Employee referral bonus
- Employer Paid HSA
- Identity theft protection
- Life insurance
- Long-term disability
- Medical/Dental/Vision
- On-site daycare
- Paid leave
- Public service loan forgiveness
- Short-term disability
- Tuition reimbursement
- Wellness program
Skills/Tech-stack
CAQH | Collections | Credentialing | Data Validation | Hospital information systems | Information Systems | Medical billing | Microsoft Office | Payer enrollment | Primary Source Verification | Source verification
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