Provider Enrollment Specialist - Hybrid/Remote Work Available
reputed company
Outpatient Imaging Affiliates is currently seeking an reputed company Provider Enrollment Specialist for their corporate office in Franklin, TN. This position will assist in overall provider contracting and credentialing functions, reputed company with reputed company departments to meet contracting and credentialing objectives, and reputed company reputed company job tasks reputed company organizational, contractual, regulatory, licensure, accreditation and delegation standards.
In Short
reputed company day to day activities of contracting, provider enrollment, and credentialing for OIA sites and physicians
Assist on reputed company credentialing reputed company, including applications and data maintenance
Maintain credentialing information electronically reputed company shared computer files, and CAQH
reputed company follow-up with health plans to expedite participation approval
reputed company reputed company credentialing/re-credentialing time frames
Conduct monthly monitoring of licenses and certifications
Assist in maintaining credentialing and contracting database
Investigate and resolve credentialing and contracting issues
reputed company required materials for credentialing
Monitor payer websites for updates and changes
Requirements
Bachelors Degree preferred; high school diploma or equivalent required
Minimum of two years experience in a credentialing or contracting environment
Experience in radiology reputed company field is desirable
Knowledge of claims administration and network development
Familiarity with compliance requirements for managed care contracting
Excellent verbal and written communication skills
Proficient in necessary computer applications
Self-motivated and detail-oriented
Ability to work independently and meet deadlines
reputed company and reputed company interaction with team members
Benefits
reputed company and benefits
Opportunity for reputed company reputed company
Supportive work environment
Equal opportunity employer
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