Summit Health
Provider Enrollment Specialist
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Job Description
- Req#: R47516
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $26.00 per hour
- Valuable company benefits plan, including health, dental, life insurance, and access to a 401k plan
- Opportunity for career advancement and growth within the organization
- Work closely with a compassionate community dedicated to improving healthcare
- Supportive environment that values health and wellness for team members and their families
What to Expect (Job Responsibilities):
- Manage enrollment tasks dashboard to ensure provider/department/facility data is accurate and complete
- Prepare and submit enrollment applications and supporting documentation to maintain participating status for providers
- Audit provider rosters and payer directories, ensuring accurate and current payer files
- Respond to internal and external inquiries regarding enrollment and privileging matters
- Assist in researching claim denials and trends related to enrollment and billing
What is Required (Qualifications):
- Minimum of 1 year experience in healthcare or provider enrollment/credentialing
- Knowledge of commercial and government insurance carrier policies and procedures related to enrollment
- Proficiency in Microsoft Office, particularly Excel and Word
- Professional written and verbal communication and interpersonal skills
- Ability to maintain complete confidentiality in handling sensitive enrollment issues
How to Stand Out (Preferred Qualifications):
- Bachelor’s degree preferred
- Ability to motivate teams and facilitate group meetings
- Experience with Medicare initial enrollments and revalidations
- Familiarity with the delegated credentialing process
#HealthcareServices #EnrollmentSpecialist #CareerOpportunity #CompetitivePay #EmployeeBenefits
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