Provider Enrollment Specialist Capital Staffing Solutions Philadelphia, PA Job Details Full-time | Contract $21

• $22 an hour 13 hours ago Benefits Health insurance Dental insurance 401(k) Vision insurance Qualifications Provider database maintenance for medical credentialing High school diploma or GED Insurance medical billing Healthcare provider information Full Job Description
• W-2 Contract that is LIKELY to extend
• Job Summary This role is responsible for gathering and verifying healthcare practitioner information and tracking all compliance information related to the enrollment and re-credentialing process.

This includes processing all incoming applications to ensure accuracy at completion and that all required licensing and certification documentation is present, as well as all additional required documentation. All necessary file maintenance functions, including updating service locations, rendering provider information; licensure and ownership information is also a function of this position.

Pay:

$21-22/hr

Location:

Philadelphia, PA 19104

Duration:

3 Month

• LIKELY to extend

Hours/Shifts:

M-F; 8A-5P (1 Hour lunch) Job Responsibilities

• Provides reviews and prepares new hire enrollment packets for accuracy, completeness and timely submission to the payers and maintains current provider information in order to ensure timely reimbursement of payment for services.
• Performs follow-up with the physicians to request necessary documentation for the application/re-credentialing process (Renewal reminders must be sent 30 days prior to the expiration date).
• Maintains a working knowledge of payers' processes and updates and ensures that the physician database and NPPES system is kept accurate and current.

CAQH re-attestation to occur every 120 days for all providers.

Must Have Requirements:

High School Diploma / GED At least two (2) years Previous experience with insurance verification, billing and/or provider relations.

Preferred Requirements:

Associate's Degree Knowledge of the ECHO, NAVINET and CAQH systems #AJ1

Pay:

$21.00

• $22.

00 per hour Expected hours: 40.0 per week

Benefits:

401(k) Dental insurance Health insurance Vision insurance Application Question(s): Have you utilized any of the ECHO, NAVINET and CAQH systems recently?

Work Location:

In person