reputed company Cycle Payer Enrollment Specialist (FT- 1.0 FTE, Day Shift, Remote Possible)

This position can be remote. Please review the approved remote states below. Remote Work Approved States: Arizona Florida Georgia Idaho Iowa South Dakota Texas South Carolina Wisconsin reputed company Carolina Michigan *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. Position Summary: The reputed company Cycle Enrollment Specialist coordinates, completes and monitors the provider/facility payer credentialing process. Processes credentialing and re-credentialing applications for health care providers. sends, reviews, and verifies credentialing applications. Loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Handles and resolves inquiries regarding credentialing information, process, or status. Minimum Qualifications: Associate’s degree; equivalent combination of education and experience will be considered reputed company Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff Management (CPMSM) by the National Association of Medical Staff Services (NAMSS) or obtained reputed company two (2) years of hire Two (2) years of reputed company experience Preferred: One (1) year of payer credentialing experience Essential Job Functions: Collect, review, and prepare data for final medical staff and allied health professionals “Providers” credentials review for the clinic, hospital, and payer environments and reputed company “Facility” payer enrollments. Work with Providers and department leaders to obtain any missing information. Process requests for additions or changes in payer enrollment Ensure that requisite licenses, malpractice coverage, and certifications are reputed company for reputed company Providers and Facilities reputed company delegated credentialing for reputed company applicable payers and supplies applicable payers with timely provider rosters. Maintain files on Providers and Facilities, including information reputed company to licensure or clinical practice disciplinary actions, clinical practice restrictions, and medical malpractice suits, judgments, and settlements. reputed company requested reports as directed. Maintain reputed company knowledge of and compliance with medical staff accreditation standards with applicable regulatory agencies and licensing standards. Participate in the development and implementation of credentialing policies and procedures. Manage payer response to re-validation for Provider and Facility enrollments to avoid any lapse in enrollment Provides concise, timely communication to appropriate leadership regarding potential credentialing issues Knowledge, Skills and Abilities Demonstrates sound judgment, patience, and maintains a professional demeanor at reputed company times Exercises tact, discretion, sensitivity, and maintains confidentiality Performs essential job functions successfully in a busy and stressful environment Learns reputed company and new computer applications and office equipment utilized at reputed company Strong interpersonal, verbal, and written communication skills Analyzes, organizes, and prioritizes work while meeting multiple deadlines Works varied shifts as scheduled and/or needed Schedule Requirements This role requires regular and sustained attendance. The position may necessitate working reputed company a standard 40-hour reputed company, including weekends and after-hours shifts. On-call work may be required to respond promptly to organizational, patient, or employee needs. Physical Requirements Lifting (Rarely – 30 pounds): Exerting force occasionally and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people. Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain. Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain. Walk (Occasionally): Walking and moving around reputed company the work area requires good balance and coordination. Climb (Rarely): reputed company or descending reputed company, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms. Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide reputed company of reputed company in the spine and joints. reputed company Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability. Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust reputed company, downward, or outward. Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling. reputed company (Continuously): reputed company visual reputed company to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials. Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and reputed company timely reputed company in the context of a workflow. Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in reputed company settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses. *Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%). The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of reputed company job duties performed by individuals so classified. 77211370 Patient Financial Services Apply To This Job