• Lead all managed care enrollment activities to ensure provider participation status.
• Prepare credentialing and re-credentialing applications on behalf of providers for submission to managed care companies and government payors

• Communicate & advise the practitioner or designated contact person of the sequential steps needed to begin the enrollment process, through completion and set timeline expectations.
• Maintain contact with designated contact person to obtain application signatures and collect all required documents to include with the completed applications. Ultimately is responsible for the health and well-being of the client account

• May lead a team to carry out the tasks required for assigned accounts
• Handles face-to-face client meetings, phone calls and emails professionally and effectively; provides responses to messages and emails within 24 hours
• Prepare and complete applications, link letters and spreadsheets to managed care organization specifications
• Maintain necessary logs, lists, records, and current documentation required for provider enrollment and re-credentialing, scanning all related enrollment documents and applications into the enrollment software system
• Follow-up with managed care companies to ensure expedient credentialing

• Prepare & distribute Payor Affiliation Reports and Status Notes to designated contact person(s) for each provider every 2-3 weeks in order to communicate the progress of approved provider numbers

• Research and solve enrollment/re-credentialing problems
• Perform a variety of clerical functions and projects as needed

• Ability to interact positively in a team environment, demonstrating superior teamwork skills.
• Any other assigned responsibilities as requested by Supervisor, not specifically noted above

• Highly self-motivated, preferably with some experience in the healthcare physician credentialing, expirables management, re-credentialing, provider enrollment environment, medical licensing, or medical industry in general
• Success-driven and results-oriented, with the ability to implement and manage cross-functional projects
• Proficiency with credentialing systems and learns new systems/processes quickly
• Ability to interact effectively with a variety of people (such as physicians and medical staff offices) and be an excellent "ambassador" for the company
• Provides highest level of customer service for both internal and external customers
• Strong written and verbal communication skills, along with strong presentation and client interaction skills
• Ability to prioritize tasks and projects
• Accurate discernment on when to act independently and when to ask for guidance and/or assistance
• Consistently demonstrates flexibility, a customer-focus, terrific organizational skills, and a passion for details

Every organization has a culture, whether they mean to or not, so why not be intentional about it?

Together, if we shape our intentions, actions, and interactions around a common, purposeful culture, we are able to quickly achieve more, attract others who help realize our goals, and thrive in our professional relationships.

• Education: High school diploma or GED required; Associates Degree is preferred
• Experience: 5-7 years of experience in the healthcare industry is required along with the understanding of Payor Enrollment