Credentialing and Enrollment Specialist

Job Summary :

Perform all tasks necessary to ensure healthcare providers are successfully credentialed, re-credentialed and terminated with all third party payers timely.

Responsible for completion of enrollment documents, building and maintaining provider table files, fee schedules, department table files, and enrollment and numbers table files. Educate CMG practices at the time of enrollment regarding the use of supervising physicians for mid-level billing, and supervising physicians for newly enrolled physicians and locum tenens.

Qualifications :

Bachelors Degree preferred; high school degree required. Minimum of one year experience with physician insurance credentialing or with insurance companies in the area of physician billing and insurance follow up. Must demonstrate excellent analytical, organizational and communication skills. Must be able to effectively use Excel and Word. Attention to detail, accuracy and completeness a must. Be professional in appearance and behavior. EOE AA M/F/Vet/Disability