[Hiring] Provider Enrollment Specialist @US Physical Therapy

Role Description

We are seeking a credentialing candidate that is a highly motivated, autonomous individual who has a positive attitude to join our company as a Provider Enrollment Specialist on the Managed Care Operations team.

• The enrollment specialist ensures that all data entry is accurate, including demographic and financial information for each account.
• Responsible for researching complex problems using available resources and implementing solutions to mitigate any future issues.
• This job will be responsible for working various work queues and other duties as assigned.
• The responsibilities will be aligned with the timely and accurate entry of all phases of enrollment/billing process for exceptional level of service to our members.
• This job requires professional behavior, dependability and good communication skills.

Qualifications

• Minimum of 3-5 years’ experience submitting payor credentialing applications for providers.
• Health plan knowledge and familiarity required credentialing all payor types: Managed Care, Medicare & Medicaid Replacements & Workers Compensation.
• Experience utilizing & maintaining credentialing database.
• Highly knowledgeable & proficient with CAQH database. Familiarity with CAQH Practice Administrator role.
• Have established relationships with credentialing reps at various health plans.
• Prepare and process credentialing applications for all payor types.
• Experience credentialing multi-Tax ID entities.
• Comfortable processing high volume credentialing applications & recredentialing applications.
• Meet and adhere to company’s turnaround time and comply with credentialing goals and performance metrics.
• Customer service oriented & easily able to develop relationships.
• Will have a detail-oriented and motivated work ethic, as well as capable of managing projects in a timely manner to meet set deadlines.
• Possess excellent organizational, interpersonal, and communication skills.
• MS Word, Excel & Access skills required.

Requirements

• Must be able to work in a fast-paced environment and manage multiple tasks with minimal supervision.

Benefits

• Comprehensive great inexpensive benefits.
• Generous paid time off with holidays.
• Continuous mentoring to further your career path.
• Great close-knit team environment. We work hard, but we have fun!

Compensation

USD 58000 - USD 63000 yearly