Immediate need for a talented Payer Enrollment Specialist. This is a 03+ Months Contract opportunity with long-term potential and is located in Norwood, OH (Onsite). Please review the job description below and contact me ASAP if you are interested.
Job ID:24-44072
Pay Range: $30 - $32/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Complete and review Provider applications with accuracy and thoroughness, contact providers for application information, when necessary, contact government agencies and managed care companies to obtain status and resolve discrepancies related to provider applications, and follow-up with physicians and assist with completing applications.
- Ensure timely submissions of all re-appointments and re-credentials, verifies all licenses are current, and maintains internal files, including copies of current credentials.
- Follow up and communicate regularly with TCHMA Administration, Billing Dept. and Office Managers.
- Maintain accuracy of and update CAQH database.
- All other duties as assigned.
Key Requirements and Technology Experience:
- Skills- CAQH, Cactus/ Symplr , credentialing.
- Must have 5+ years of experience in Physician/ Advanced Practice Payer enrollment, in a hospital setting. Not with an insurance company.
- Strong CAQH knowledge.
- Strong Excel experience.
- Cactus/ Symplr experience.
- Must have worked previously in a hospital system Will not accept any Nursing, allied or agency credentialing specialist experience.
- Preferred: Cactus/Symplr, CAQH experience.
- 3-5 years’ experience in credentialing.
- Excellent computer skills, to include word processing, spreadsheet and database management.
- Ability to work under pressure and adaptable to change.
- Attention to detail and accuracy are essential.
- High School Diploma or equivalent.
Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
