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Provider Enrollment/Credentialing Specialist
Summary
Title:Provider Enrollment/Credentialing Specialist
ID:1081
Department:PRL Credentialing
Description

Responsibilities and Duties:

  • Initiate enrollment with insurance companies for all new providers
  • Maintain the timelines on enrollment schedules, communicate with billing and the office managers on updates as needed and explain payer information requirements
  • Work closely with physicians and office mangers to obtain missing documentation on providers for enrollment with insurance companies
  • Follow-up with insurance companies for provider participation status
  • Complete re-credentialing for existing providers
  • Able to effectively communicate with team members, billing staff and insurance companies
  • Retain detailed and accurate lists of insurances for which clients participate
  • Performs other related duties, which may be inclusive, but not listed in the job description
 

Qualifications:

  • High School Diploma or GED required
  • Bachelor’s Degree preferred
  • Minimum of 2 years’ experience in provider enrollment preferred
  • Knowledge of the Medicare, Medicaid & third-party provider enrollment processes
  • Proficiency in Microsoft Office, particularly Word and Excel
  • Proficiency in CAQH, PECOS & NPPES preferred
  • Professional written and verbal communication and interpersonal skills

Practice Resources, LLC offers a dynamic work culture with core vales emphasizing fun. balance, integrity, empathy. personal development and family. Employment includes a competitive salary and benefits package including health, dental, disability and life insurance, 401K/Roth 401K options, paid time off,  flex spending, free parking and casual dress every day. Our office is located just blocks from historic Armory Square allowing quick access to 690, 481 and 81
This opening is closed and is no longer accepting applications
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