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PAYER ENROLLMENT SPECIALIST at Premier Health
Moraine, Ohio, United States -
Full Time

Start Date

Immediate

Expiry Date

24 May, 26

Salary

0.0

Posted On

23 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Credentialing, Third Party Applications, Contract Management, Physician Profiles, Data Base Maintenance, Contract Interpretation, Healthcare Billing, Reimbursement, CAQH, One AppPro, Oral Communication, Written Communication, Organization, Microsoft Word, Excel, Outlook

Industry

Hospitals and Health Care

Description
Summary of Position To manage the credentialing process for physician provider by completing third party applications and contracts. Develops and maintains physician profiles and data base. Nature and Scope Preparation and submission of all third-party provider applications and contracts for 110+ physicians. The position will function as a resource and intermediary on questions of contract interpretation between offices, patients, and third-party insurance companies. Qualifications Minimum of Associates degree and/or experience preferably in Business or Computers with experience in health care billing, reimbursement, and/or contracting A minimum of one year experience in credentialing, or 3+ years experience with medical billing is preferred. Recent experience with CAQH and One AppPro will be an advantage. Must have strong oral and written communication and organization skills. Must demonstrate knowledge of third party credentialing process. Qualified candidates will have knowledge of, and some experience with third party credentialing process. Excellent oral and written communication skills will be essential, along with a strong proficiency with various software applications including Microsoft Word, Excel and Outlook.
Responsibilities
The primary responsibility is managing the credentialing process for physicians by completing third-party applications and contracts, while also developing and maintaining physician profiles and databases. This role involves preparing and submitting applications for over 110 physicians and acting as an intermediary for contract interpretation questions.