Provider Enrollment Specialist in Warsaw, IN at Bowen Center 

Date Posted: 3/10/2020

Job Snapshot

Job Description

To perform and ensure the quality and timeliness of provider enrollment functions, ensure adherence to payor contracts, and provide administrative support to the organization’s credentialing programs.

 

Primary Duties and Responsibilities:

  • Perform provider enrollment functions, including but not limited to: CAQH on line application system, NPI applications, enrollment applications for government payors such as Medicare and Medicaid, and enrollment activities for commercial payors.
  • Track provider enrollment applications to ensure timely enrollment and linkage of providers with Payors.
  • Document and assist in resolving issues involving provider enrollment.
  • Complete CAQH re-attestation tasks for all applicable staff.
  • Prepare hospital applications and coordinate with clinical staff to obtain signatures and necessary documentation in a timely manner.
  • Respond to all recredentialing and revalidation requests within the given timeframe.
  • Complete quarterly demographic updates as requested by the payors.
  • Other duties as assigned by the manager.

Job Requirements

  • Education:  High school diploma or equivalent.
  • Experience: Prefer one (1) year experience in a mental health setting and/or one (1) year experience with provider enrollment, but not required.