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Provider Enrollment Specialist/Practice (Remote) Job

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Date: Jul 31, 2022

Location: Memphis, TN, US

Company: Methodist Le Bonheur Healthcare

Summary

Responsible for all aspects of credentialing and re-credentialing processes for the employed providers in relationship to participation with healthcare plans and hospitals for privileges.  Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

Education/Experience/Licensure

 

Education/Formal Training

Work Experience

Credential/Licensure

 

REQUIRED:

High school graduate or equivalent.

Minimum of one year experience in an office setting.

N/A

 

PREFERRED:

N/A

Previous experience in provider credentialing with healthcare plans.

N/A

 

SUBSTITUTIONS ALLOWED:

Two years of college or business training from an accredited school in lieu of one (1) year of experience.

N/A

N/A

Knowledge/Skills/Abilities

  • Knowledge of insurance payer market as it relates to the Memphis area.
  • Knowledge of medical and professional credentialing processes including provider enrollment with the various payers and privilege appointments with various hospitals.
  • Skill and proficiency with Microsoft Word and Excel.
  • Skill and proficiency with computer systems and applications related to practice management systems and credentialing software.
  • Ability to function with minimal supervision.
  • Strong verbal and written communication skills.
  • Ability to prioritize and manage multiple tasks efficiently and accurately.
  • Strong organizational skills and must be detail oriented.
  • Demonstrated deductive reasoning and ability to use reference materials.

Key Job Responsibilities

  • Ensures enrollment is submitted to third party payers within defined time frame.
  • Performs various clerical functions related to the credentialing process.

Physical Requirements

  • The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
  • Must have good balance and coordination.
  • The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
  • The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
  • The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
  • Occasional travel to other facilities.


Nearest Major Market: Memphis

Job Segment: Clerical, Administrative