Credentialing and Provider Enrollment Specialist - Centurion Anesthesia : Job Details

Are you detail-oriented, organized, and passionate about ensuring healthcare providers can deliver care smoothly?

We're hiring a Credentialing and Provider Enrollment Specialist to join our team!

Key Responsibilities:

• Provider Enrollment: Manage Medicaid, Medicare, and commercial payer enrollments for providers (e.g., anesthesiologists, CRNAs). Resolve application delays, rejections, and discrepancies.
• Insurance Credentialing: Oversee credentialing and re-credentialing with insurance carriers, ensuring compliance with timelines and regulations. Address credentialing-related payer denials.
• Database Management: Maintain accurate records of provider credentials, licensure, and certifications. Track expirations and ensure timely renewals.
• Policy and Compliance: Develop and implement credentialing policies. Conduct audits to ensure compliance with internal standards.
• Communication and Coordination: Liaise with providers, payers, and internal teams to collect documentation, resolve issues, and align credentials with billing.
• System Oversight: Manage online payer portals, update demographic information, and monitor CMS NPPES reporting.

What We're Looking For:

• Education: Bachelor's degree preferred (or equivalent experience).
• Experience: Prior experience in credentialing or healthcare administration, with knowledge of Medicaid and Medicare processes.
• Skills: Proficiency in credentialing software and payer portals. Detail-oriented with strong organizational, problem-solving, and communication skills.

Join our team to play a vital role in streamlining provider enrollment and ensuring compliance with healthcare regulations!

Apply today at Careers.CenturionAnesthesia.com.