Provider Credentialing & Payer Enrollment Specialist (Full Time) - Revenue Integrity

Job Description

Unlock your potential for professional development! We are hiring Provider Credentialing/Payer Enrollment Specialist (Full Time) to join our Financial Services Team!

Located in northwest Arizona, Kingman has a mild climate with stunning Arizona sunsets! In the shadows of beautiful mountain ranges and nearby lakes, Kingman is an outdoor enthusiasts' paradise with abundant sunshine and is a great community to live, work and play!

Position Purpose

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision of providing the region’s best clinical care and patient service through an environment that fosters respect for others and pride in performance.

Benefits ( Full Time Employees )

We offer you an excellent total compensation package, including a competitive salary, comprehensive benefits, and growth opportunities:

• Exceptional Colleagues
  • Join us and you'll be a part of a culture where we support each other and celebrate what makes each of us a special person as we work together with integrity, compassion, teamwork, respect, and accountability.
  • Our leaders demonstrate their commitment by gathering feedback, supporting, and empowering team members to do their best work through regular leadership rounding.
• Health and Well-Being
  • Medical, Dental, Vision, Employer Paid HSA for HDHP participants, Robust Wellness and Employee Assistance Program, Employer Paid Group Life, Short & Long-Term Disability
  • Generous Paid Leave Accruals
  • 403b Retirement Plan with Employer Contributions
  • Employee Recognition Programs, Employee Discounts, and Employee Referral Bonus Program
  • Employee Identity Theft Protection
  • On-site daycare exclusive to our employees’ children of all ages
• Career Growth and Development
  • Tuition Reimbursement/Scholarships for full-time employees
  • As a not-for-profit organization, our employees who have qualified student loans may be eligible for the Public Service Loan Forgiveness program
  • So much more!

Position summary:

The primary function of the Provider Credentialing and Payer Enrollment Specialist is to collect and verify physician and authorized practitioner credentialing data for use in the Payer Enrollment and Medical Staff Services credentialing and privileging functions. This individual facilitates practitioners through the organization’s payer enrollment process, and to enrolls these providers and hospital facilities with contracted insurance payers for billing purposes. This individual requests, collects, verifies, and coordinates application materials, reviews returned material for accuracy, regularly communicates with key stakeholders, and reports applicant’s status during the enrollment process. The Provider Credentialing and Payer Enrollment Specialist ensures that all required documentation is obtained and establishes and maintains effective relationships with providers, medical staff, insurance payers, business office/billing staff and others to promote the communication and completion of related processes. This individual will maintain a working knowledge of TJC, DNV and NCQA standards related to medical staff and payer credentialing processes.

Qualifications

Education: High school diploma or equivalent

Experience: At least one year experience in payer enrollment of physicians and other professional practitioners OR two or more years’ experience with medical billing and/or collections OR at least one year experience in medical office staffing OR two or more years of administrative support experience.

Skills and Knowledge: Proficient in Microsoft Office

Apply Now

When incredible people and incredible facilities like ours join together, incredible things happen. If you want to be a part of an incredible team that is dedicated to delivering the highest quality in patient care, we invite you to explore this opportunity with KRMC and apply online today for CT Tech, Lake Havasu, Bullhead City, Arizona, Las Vegas, Healthcare.

Facility Profile

Kingman Regional Medical Center is the largest healthcare provider and the only remaining not-for-profit hospital in Mohave County, Arizona. As a 235-bed multi-campus healthcare system, our medical center includes more than 1,800 employees, 280 physicians/allied health professionals, and 250 volunteers. Kingman Regional Medical Center is recognized as an innovator in rural healthcare and a teaching hospital. We provide a full-continuum of highly-technical and specialized medical services to meet the healthcare needs of our community.

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Posting Date: 2025-03-18T19:40:06 00:00

Locations: 3269 Stockton Hill Road Kingman AZ 86409