Payer Enrollment Specialist
Payer Enrollment Specialist
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Details
Description
Job Summary
The Payer Enrollment Specialist is responsible for managing the enrollment process for Rothman providers with various insurance payers. They ensure that the providers are properly enrolled and credentialed with the necessary insurance plans. This involves gathering and verifying provider information as well as completing/submitting enrollment applications. The Payer enrollment Specialist will also be responsible for monitoring license DEA and CDS applications as well as maintain CAQH for all providers assigned.
Hours:Mon Fri: 7:30am 4pm (will work 40 hrs/wk)
Location:833 Chestnut St Philadelphia PA
- hybrid: will work on site 1 day per week; remote other 4 days of week
Job Duties
- Assists with processing applications for Rothman physicians and clinical staff with participating insurance companies state licensing boards state and federal drug control agencies.
- Credentials Rothmans physicians physician assistants APRNs physical therapists and occupational therapists.
- Maintains online database for insurance credentialing (CAQH).
- Communicates with insurance companies and staff on status of provider participation.
- Develops and updates provider participation grids for scheduling.
- Updates all staff on new physician approvals as they become available.
- Communicates with insurance companies on all processing issues and problems with regard to credentialing.
- Exemplifies the desired culture and philosophies of the organization.
Minimum Requirements:
- High School diploma or GED minimum education requirement
- Computer skills including but not limited to MS Office
Preferred Qualifications:
- Associates or Bachelors degree
- CPCS certification
- One year experience with credentialing
- Medical office operations and medical terminology
Our Commitment to Employees:
Come work at Rothman Orthopaedics! Our employees are our single greatest asset as such we strive to provide a professional nurturing environment where every member of our team can make a meaningful difference in the lives of others. This commitment to our employees has earned us the distinction as a Top Workplace in Philadelphia by the Philadelphia Inquirer year after year. Our employees enjoy competitive pay comprehensive health and dental benefits tuition reimbursement paid time off and retirement savings plans.
Rothman Orthopaedics is an Equal Opportunity employer committed to providing opportunities to all qualified applicants without regards to sex gender identity sexual orientation race color religion national origin disability protected veteran status age or any other characteristic protected by law. We value developing an inclusive and equitable environment that strengthens our organization and allows us to better attract and retain a diverse workforce that is representative of our patients and our community. We model our values by creating and enacting practices that encourage participation from all backgrounds perspectives and experiences.
COVID19 Policy:
As a condition of employment at Rothman Orthopaedics it is required you receive the COVID19 vaccination. Rothman Orthopaedics is an Equal Opportunity Employer and requests for reasonable accommodations will be considered.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
