Provider Enrollment Specialist

About the Company: Well-established non-profit organization is seeking an Provider Enrollment Specialist in their corporate headquarters in Tampa, FL. This person will be responsible for coordinating, monitoring and maintaining provider enrollment for physicians and practice providers in which the hospital sites participate. 

Type: Contract to Hire

Job Description: 

  • Obtains and maintains provider enrollments with Commercial payors, Medicaid Managed Care plans, and multi-state Medicaid programs for assigned sites
  • Maintains up-to-date enrollment status, notes and documentation in the Provider Enrollment system OnBase
  • Coordinates with various departments and functions for input and 
  • Handles enrollment with, timely monthly updates to on boarding issues, and re-credentialing of providers with national payor(s) as assigned
  • Establishes and maintains close working relationships with hospital credentialing coordinators, network management, providers, other hospital/headquarter departments, and insurance payors

 

Qualifications 

  • HS diploma, 2 year degree preferred
  • Previous experience in a Provider Credentialing position
  • Experience with Medicare, Medicaid (including multi-state if possible), 3rd party enrollment
  • Experience working with some sort of credentialing database such as CAQH or MD-Staff
  • Expertise with Adobe Pro and Microsoft software products (Excel, Word, PowerPoint, Outlook, etc.)
Category:Administrative/Clerical
City/State/Zip:Tampa, Florida 33607
Job ID:11578
 

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