Responsible for preparing and submitting credentialing applications and supporting documentation to enroll individual physicians and locations with payers. The role works closely with Payer Relations, Patient Accounting, and Managed Care teams to complete provider enrollment, maintain accurate enrollment records, support re-credentialing, and help resolve payer-related issues.
Also serves as an application administrator by maintaining the managed care module in MD Staff, developing dashboards and reports, and supporting users within the payer relations function.
Requirements & Qualifications
Education and experience
- Bachelor's degree in business or a related field, or 3-5 years of related experience
Knowledge and skills
- Knowledge of commercial credentialing policies and applicable government regulations and standards
- Familiarity with private and commercial insurance carriers, including Medicare and Medicaid
- Proficiency in Microsoft Office tools, including Excel, Access, PowerPoint, and Word
- Ability to manage multiple tasks in a fast-paced environment
- Detail-oriented with a high level of accuracy
- Strong communication skills
- Ability to identify problems and solve them effectively
Other duties and environment
- Ability to work in an office environment and sit for long periods of time
Location
Illinois, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago
Browse More Jobs