Provider Enrollment Specialist WMCG Augusta Georgia Position Available In Richmond, Georgia
Tallo's Job Summary: The Provider Enrollment Specialist at Wellstar MCG Health, Inc. in Augusta, Georgia, coordinates and administers the enrollment process for medical providers, ensuring compliance with regulatory requirements. Responsibilities include acquiring enrollment documentation, managing credentialing processes, and resolving enrollment issues. The role requires a high school diploma or GED and at least 1 year of experience in healthcare enrollment or credentialing. Salary ranges from $32.5K to $37.6K annually.
Job Description
Provider Enrollment Specialist WMCG Augusta Georgia Wellstar Health System, Inc. – 3.6
Augusta, GA Job Details Full-time Estimated:
$32.5K – $37.6K a year 1 day ago Qualifications Medicine Management Mid-level High school diploma or GED 1 year
Full Job Description Facility:
Wellstar MCG Health, Inc.
Job Summary:
Coordinates and administers the enrollment process for medical providers on behalf of practice plan and Wellstar MCG Health System, ensuring that all enrollment and credentialing processes and procedures are completed in accordance to applicable regulatory and policy requirements. Identifies provider enrollment issues with the external Provider Enrollment vendor and the internal Provider Enrollment team and utilizes a variety of proprietary and external tools in order to research and resolve.
Core Responsibilities and Essential Functions:
Coordinates the acquisition and receipt of all enrollment documentation from new and existing providers; provides follow-up and problem resolution as needed. Coordinates the processing, distribution, and management of all hospital credentialing and Medical Associates enrollment documents for providers. 35% Acts as primary point of contact for all internal and external constituencies in all day-to-day administrative matters associated with the credentialing/enrollment process; troubleshoots and resolves problems and issues as they arise. Cross trains with other team members to have a general understanding of Provider Enrollment denial management. 35% Develops and maintains a comprehensive credentialing database and prepares reports, rosters and summaries as appropriate; manages physician profiles. 15% Develops and implements systems and procedures to ensure that all enrollment processes are completed in accordance to relevant regulation, policies, and standards. Maintains and ensures strict confidentiality of files and databases. 15%
Required Minimum Education:
High School Diploma General Required and GED General Required or Associates General Preferred (or) Minimum 1 year Enrollment; credentialing/privileging providers; or revenue cycle in a healthcare setting.
Required Required Minimum Experience:
Minimum 1 year Enrollment; credentialing/privileging providers; or revenue cycle in a healthcare setting. Required Minimum 4 years MD Staff relations; credentialing/privileging providers; provider enrollment; revenue cycle. Preferred
