Job Description
Primary Duties:
- Ensures protocols are being followed to ensure timely resolution and completion of payor enrollment requirements
- Follows guidelines in alignment with all health plan requirements as related to the provider certification and credentialing
- Pulls data from multiple internal sources (eg, Salesforce, Aledade app) to reconcile and audit internal trackers; maintains and builds trackers to ensure data accuracy
- Requests, uploads, and tracks information required from practices to ensure successful completion of rostering and provider credentialing
- Coordination among multiple teams (field team, product, financial performance, growth, and accounting) in completion of the rostering and credentialing process
Minimum Qualifications:
- Bachelor's degree or relevant, equivalent work experience
- 2+ years healthcare industry
Preferred KSA's:
- 2+ years managed care credentialing, billing and/or Medical Staff service setting
- Provider enrollment experience
- Self-motivated and able to work remotely with little to no supervisionÂ
- Project management skills
- Excellent communication skills
- Advanced Microsoft Excel skills
- Experience working with CRM technology - Salesforce preferred
- Must have exceptional organizational skills with a high level of attention to detail
- Must be able to communicate appropriately and effectively with practitioners, internal stakeholders, and providers; including sensitive and confidential information
- Skills in problem solving and analysis and resolution
- Can manage multiple priorities and drive progress in an ambiguous, fast-paced environment
- Great organizational skills
Physical Requirements:
- Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
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Date Posted
10/11/2023
Views
2
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