What are the responsibilities and job description for the Payor Enrollment and Provider Credentialing position at Confidential?
About us
From our beginnings in 2001, IN Compass Health was one of the first hospitalist providers in the nation. Since inception, we have recruited over 1000 providers and implemented more than 65 programs across the country, serving hundreds of patients each day.
Our founder has extensive experience in hospital-based medicine and managing physician-driven medical care in complex settings. His experience, supported with his executive leaders, offers a blending of talent few firms can match. IN Compass Health has worked for more than 20 years with hospitals, physicians and payers to design and implement effective, on-site inpatient care teams and programs.
Built on this solid foundation, IN Compass Health works with hospitals and medical staffs to develop and manage successful hospitalist programs. Serving a national client base, the company is headquartered in metro Atlanta.
This is not a remote position. Offices located in Milton, GA M-F schedule.
PAYER ENROLLMENT COORDINATOR
The Payer Enrollment Coordinator is responsible for completing applications and enrolling clinical providers in commercial, governmental and other insurance payer programs. Familiarity with PECOS, CAQH and payer portals is preferred.
You will work with the providers to complete all necessary information required to submit their initial application as well as any renewals that may be required.
Strong organizational and communication skills are necessary to ensure timely and accurate processing of applications as well as supporting our clinical and client staff.
Job responsibilities include, but are not limited to:
Complete and submit initial payer enrollment applications for commercial and government payers.
- Complete and maintain CAQH profiles.
- Timely follow up on payer enrollment applications
- Complete and coordinate initial paperwork for ERA, EDI, EFT
- Work with payer portal web sites
- Process re-credentialing and revalidations timely to prevent any lapse in enrollment.
- Maintain enrollment and billing information in the billing/Credentialing systems
- Communicate with hospitals, payers, providers, and other entities as needed to assist in the enrollment process.
- Maintain knowledge of current health plan and agency requirements for enrollment.
- Maintain confidentiality of provider information.
- Terminate enrollment with payers upon termination of providers.
- Monitor enrollment worklists to track enrollment status and held claims status
Qualifications, Skills and Knowledge Required:
- High School degree with preferred 3 years’ experience in a payer enrollment or healthcare insurance related field
- Knowledge of healthcare billing systems (athenahealth preferred)
- Excellent written and oral communication skills
- Must be comfortable working with Excel and Word
- Strong organizational, problem solving and decision-making skills
- Ability to prioritize and manage multiple projects
- Self-motivated who can work independently
- Strong attention to detail and follow up
- Ability to work with others in collaborative role
Keywords
- Payor Enrollment
- CAQH
- Medicare/Medicaid
- Healthcare Billing
- Insurance physician enrollment
THIS IS AN IN-OFFICE POSITION, NO REMOTE WORK AVAILABLE.
Job Type: Full-time
Pay: $23.00 - $27.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
Salary : $23 - $27