Req# 8179
York Hospital
York Hospital, York, ME
Finance
Full Time, Day Shift, 7:30-3:30
At York Hospital, we're more than a hospital. We are a team of providers, clinicians and staff members offering expertise within a Hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers' commitment is to make a positive difference in the lives of one another, our patients and our community by instilling our vision of Loving Kindness for all.
We currently have an opportunity for an experienced Provider Enrollment Specialist. This is a full time, 36 hours per week position located in York, ME.
Responsibilities:
1. Prepare, complete, and submit provider enrollment and reenrollment applications to various health plans and payers, ensuring accuracy and completeness. This includes gathering and maintaining necessary documentation, such as licenses, certifications, and insurance information.
2. Manage the data entry and processing of enrollment applications, ensuring all information is accurately entered into relevant systems, including enrollment database. Maintain CAQH, PECOS, and NPPES.
3. Communicate with providers, insurance companies, billing and care access, to resolve enrollment application issues, track progress, and provide updates.
4. Coordinate and manage the overall provider enrollment process, ensuring efficiency and timely completion.
Qualifications:
1. Graduate with a high school diploma or equivalent.
2. Two (2) years of provider credentialing experience.
3. Previous experience with Credentialing Programs, such as QGenda, preferred.
4. Strong computer and data entry skills.
5. Associates and/or Bachelors Degree are preferred.
6. Ability to work independently and assume assigned responsibilities in a fast paced environment.
YORK HOSPITAL IS AN EQUAL OPPORTUNITY EMPLOYER.
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