What are the responsibilities and job description for the Enrollment Specialist position at OSF HealthCare?
Remote Work From Home Near OSF Location
About Pointcore, Inc.
Pointcore serves the healthcare industry through proven excellence in key services that enable patient care including technology services (application, IT, network and cybersecurity), healthcare technology management (HTM or biomedical equipment services), supply chain, business and construction. As an extension of OSF HealthCare, one of the nation’s leading healthcare organizations, Pointcore leverages decades of experience serving hospitals and clinics of all sizes to extend resources, share cost and utilize common infrastructure with external clients, all to the benefit of patients. Learn more about Pointcore innovation by following us on LinkedIn and at Pointcore.com
POSITION SUMMARY:
The Enrollment Specialist initiates enrollment and revalidation process for employed providers. Remains current in regulatory matters relevant to the credentialing process. Tracks all enrollment submissions and follows up timely to ensure providers are enrolled with the payers prior to their start date. Responsible for the overall supervision/coordination of the enrollment function.
Qualifications
REQUIRED QUALIFICATIONS:
Education: High school diploma or GED equivalent
Experience: 2 years of work experience in a healthcare, delegated credentialing office or Credentialing Verification Office.
Other skills/knowledge: Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem solving skills, with the ability to be detail oriented.
PREFERRED QUALIFICATIONS:
Education: Bachelor's degree in business, finance, health care administration or health care related field.
License/Certifications: Certified Provider Credentialing Specialist (CPCS) and/or Certified Professional Medical Services Management (CPMSM) or willing to obtain certification within 3 years of employment.
Other skills/knowledge: Written and oral communication skills necessary in order to act as department liaison external and internal customers. Analytical skills to be able to collect, analyze and interpret data; prepared summaries and reports; maintain files and interpret regulatory requirements. Organizational skills in order to manage multiple tasks and perform work at a high level of accuracy and timeliness. Knowledge of The Joint Commission (TJC) standards, National Committee for Quality Assurance (NCQA) and other regulatory agencies (CMS, IDPH) related to medical staff credentialing and privileging. Proficiency with MS Word, Excel, Outlook; knowledge of credentialing software. Knowledge of medical terminology.
OSF HealthCare is an Equal Opportunity Employer.
