Daily tasks and responsibilities include, but not limited to:
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Accurately complete payer enrollment and facility appointment applications for providers.
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Provides support and assistance for new practice setup as needed.
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Track progress of outstanding applications and communicate with provider relation representatives ensuring enrollment completion.
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Maintains accurate and current information in the provider records which includes credentialing software database and in provider electronic folders.
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Maintains credential files in an orderly and current manner.
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Provides research and administrative support for special projects.
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Ensures HIPAA guidelines are respected by safeguarding protected health information in the capacity of the position and responsibilities.
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Other duties may be assigned from time to time.
Important Note: This Job Description is subject to any reasonable adjustment in accordance with the changing and developing needs of the position.
Qualifications and Requirements
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Preferably a college graduate or at least two years of college completed.
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Minimum 3 years of experience in healthcare administration, credentialing, and provider enrollment (governmental and commercial payers) for facility-based providers.
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Minimum 1 year of experience in a healthcare revenue cycle setting.
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Familiarity with credentialing software (e.g., CAQH, CredentialStream).
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Strong written and verbal communication skills.
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Strong critical thinking skills.
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Excellent attention to detail.
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Client-service oriented.
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Highly effective team collaboration, accountable, and able to work with minimal supervision.
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Proficient in email management and Microsoft Word and Excel applications.
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Highly motivated self-starter.
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Organized, able to set priorities, and meet deadlines.
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Team player who supports department and company goals and policies.
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Degrees or coursework related to the medical field are a plus.