What are the responsibilities and job description for the Credentialing and Provider Enrollment Specialist position at Centurion Anesthesia?
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 :
Join our team to play a vital role in streamlining provider enrollment and ensuring compliance with healthcare regulations!
Apply today at Careers.CenturionAnesthesia.com.