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