What are the responsibilities and job description for the Credentialing/Enrollment Specialist position at RiverView Health?
Overview
RiverView Health, is a community owned, membership based non-profit organization that was formed in 1898 and continues to be the sole community hospital in Crookston, MN.
RiverView Health operates a 25 bed Critical Access Hospital, RiverView Recovery Center; a chemical dependency outpatient treatment program, RiverView Home Care and five primary care and specialty clinics in the hospitals service area.
We have a robust scholarship program for those furthering their education in a medical field, excellent benefits, and a friendly work environment. Full-time benefits include health insurance, free single vision and basic dental insurance, life insurance, long-term disability and short-term disability, and employer HSA contributions. Other benefits include employer pension matching, shift differential, incentive/premium pay, free annual biometric screening and paid volunteer time off.
RiverView is an Equal Employment Opportunity employer.
Responsibilities
Location: Crookston (In-person)Schedule: 80 hours per two-week pay period 8 hour shiftsScheduled hours: Monday-Friday 8:00 AM - 4:30 PM
Pay Range: $21.93 - $30.71; includes competitive benefits package
The Credentialing/Enrollment Specialist ensures accurate provider data management services. This position is responsible for initial appointments, reappointments, professional licensing verifications, privileges, and focused and ongoing professional practice evaluations of professional medical staff. This position is responsible for insurance enrollment for the facility and providers. They will assist Patient Financial Services with claim denials. Their primary goal is to ensure healthcare professionals and services meet all established federal and state standards to ensure patient safety. This position coordinates medical staff meetings.
Qualifications
Experience/Education/Certifications/Licenses
Minimum:
- High School Diploma or GED
- Microsoft Office suite experience
Preferred:
- Associate’s degree or equivalent
- Certified Provider Credentialing Specialist
- 5 years of healthcare experience
- Lean experience in a professional setting
- Experience in data entry or record management
Salary : $22 - $31