Provider Enrollments Specialist

POSITION SUMMARY: The Provider Enrollment Specialist is responsible for facilitating all stages of enrollment and payor credentialing maintenance of Physicians and other professional providers that Central Peninsula Hospital employs and/or bills for. Under the direction of the Director of Revenue Cycle, and guidance from the Revenue Cycle Operations Manager and Central Billing Office Manager, they perform individual provider enrollment, revalidation/re-credentialing, and disenrollment functions for Medicare, Medicaid, and VA, and complete credentialing with contracted commercial payors. Maintains and submits Provider Rosters as needed. Manages Provider's CAQH initial setup and re-attestations. The incumbent will be instrumental in ensuring accurate and compliant enrollment submissions, maintaining up-to-date knowledge of payor enrollment requirements and software, and establishing professional relationships with providers to obtain necessary enrollment paperwork and signatures. Timeliness and attention to detail are crucial in this role to ensure the seamless integration of providers into the healthcare system.

REQUIREMENTS:

• High School Diploma/GED
• 3 years of general office experience to include managing complex documentation and records, coordinating multiple tasks and deadlines, maintaining databases or tracking systems, conducting research and problem-solving activities, demonstrating strong organizational and detail-oriented skills
• Certified Provider Credentialing Specialist (CPCS) through the National Association of Medical Staff Services (NAMSS) within 18 months of employment

CPH offers competitive pay and benefits including health insurance, retirement, paid time off and many more! Starting pay is $24.17/hr - $27.62/hr DOE.