Responsibilities
- Accurately complete payer enrollment and facility appointment applications for providers.
- Provide support and assistance for new practice setup as needed.
- Track progress of outstanding applications and communicate with provider relations representatives to ensure enrollment completion.
- Maintain accurate and current information in provider records, including the credentialing software database and provider electronic folders.
- Maintain credential files in an orderly and current manner.
- Provide research and administrative support for special projects.
- Ensure HIPAA guidelines are followed by safeguarding protected health information.
- Perform other duties as assigned.
Additional Notes
This job description may be reasonably adjusted in response to changing and developing position needs.
Requirements & Qualifications
Qualifications
- Preferably a college graduate, or at least two years of college completed.
- Minimum 3 years of experience in healthcare administration, credentialing, and provider enrollment for governmental and commercial payers in facility-based settings.
- Minimum 1 year of experience in a healthcare revenue cycle setting.
- Familiarity with credentialing software such as CAQH and CredentialStream.
- Strong written and verbal communication skills.
- Strong critical thinking skills.
- Excellent attention to detail.
- Client-service oriented.
- Highly effective at team collaboration, accountability, and working with minimal supervision.
- Proficient in email management and Microsoft Word and Excel.
- Highly motivated self-starter.
- Organized, able to set priorities, and meet deadlines.
- Team player who supports department and company goals and policies.
- Degrees or coursework related to the medical field are a plus.
Location
Oklahoma, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago
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