What are the responsibilities and job description for the Credentialing/Payor Enrollment Specialist- Cherry Hill, NJ position at PATHS, LLC?
Physician and Tactical Healthcare Services (PATHS), LLC is committed to provide the best possible environment for maximum development and goal achievement for all employees. Our practice is to treat each employee as an individual. We seek to develop a spirit of teamwork; individuals working together to attain a common goal. In order to maintain an atmosphere where these goals can be accomplished, PATHS provides a comfortable and progressive workplace. We take into account individual circumstances and the individual employee.
Founded in 2000, PATHS offers a broad range of account receivable management, patient advocacy, and consultation services to assist the needs of our healthcare clients. Our 4 offices in PA, NJ, and DE is home to 450 employees and that serve over 100 clients. Our team has built long term flourishing partnerships with clients and staff by cultivating a great experience.
PATHS, LLC is currently seeking a Credentialing/Payor Enrollment Specialist to join our team at the Cherry Hill, NJ office.
Duties Include:
- Submitting initial and re-credentialing payer enrollment applications for commercial enrollment.
- Submitting initial and re-credentialing payer enrollment application for Medicare and Medicaid enrollment.
- Follow up and checking status of submitted applications with payors.
- Track and follow-up to obtain provider ID numbers and effective dates.
- Develop working knowledge of payors enrollment process for multiple states.
- Serve as a liaison between billing department and the payors on troubleshooting claims denials due to provider enrollment issues.
- Maintain matrix of all facility and provider expiring credentials need for provider enrollment.
- Maintain high level of organization while being extremely focused on details.
- Other duties as assigned
Requirements:
- Minimum of ONE YEAR payer enrollment experience required
- CAQH and payer portal experience recommended
- Efficient in using computer software applications (i.e. Excel, Word, Outlook)
- Ability to meet time-sensitive deadlines and multi-task work priority and projects
- Excellent written and verbal communication skills
- Strong trouble-shooting and problem solving skills
- Strong attention to detail
- Strong team player attitude
- Able to work on team project as well as individually
Minimum high school diploma or GED is also required.
Work schedule: Monday - Friday 8:00 am – 4:30pm
Company offers competitive salary and excellent benefits package including:
Paid Time off
Paid Holidays
Medical, Dental, Life and Long Term Disability Insurance
401K Plan
Preferred rate of $20-22 an hour
Equal Opportunity Employer.
Job Type: Full-time
Pay: $20.00 - $22.00 per hour
Work Location: Hybrid remote in Cherry Hill, NJ 08002
Salary : $20 - $22
