Job Details

Description

Pay:

Job Overview: This position entails communicating directly with the providers in person, via email and/ or via phone, as well as hospitals and/ or insurance companies. You will be responsible for enrolling and maintaining the participation status of the providers with hospitals and/ or insurance companies, as well as verifying demographic information and providing up to date licensures to ensure the most accurate information on file for the providers.

Responsibilities and Duties:

• Communicate with provider to obtain all documents necessary to credential

• Contact insurances and/or hospitals to initiate the application process

• Complete and submit hospital and/or insurance applications with all necessary signatures and

• applicable documents

• Communicate with the insurances and/or hospitals to follow up on the status of applications

• Complete and submit Electronic Remittance Advice and Electronic Funds Transfer forms

• Update and distribute Network List monthly

• Transfer letters in notes, scan and file

• Input detailed notes of daily activity in spreadsheet

• Verify, complete & submit provider demographic forms to insurances

• Send out updated licensures upon renewal to insurances and/or hospitals

• Maintain email volume, work in a timely manner

• Answer phone, attend call and/or route as needed

Qualifications:

• High School Diploma

• Six plus months office setting work experience

Skills:

• Microsoft word, Excel, Outlook

• Basic computer skills

• Multi-task

• Detail-oriented

• Able to work fast pace

• Self-motivated

• Positive attitude

• Professional personality

• Organization

• Follow-up skills

• Able to handle high volume workload

• Customer Service

• Good Communication

The employee’s job description can change without notice. The tasks that are listed on the job

description are not limited to just what is listed. The employee may be asked to do tasks that are not

listed on their job description at any time.