Credentialing Enrollment Specialist

Are you a detail-oriented, organized individual with a passion for ensuring quality in healthcare? Atrium Health is seeking a Credentialing Enrollment Specialist to join our team and support the credentialing process for our healthcare providers. In this role, you will play a vital role in ensuring that our providers are properly credentialed and enrolled in insurance networks, allowing for seamless patient care. If you have excellent communication skills, a strong attention to detail, and a desire to make a difference in the healthcare industry, we want to hear from you. Read on for more details about this exciting opportunity.

1. Manage the credentialing process for healthcare providers, including initial application and ongoing maintenance of credentials.
2. Monitor and track provider enrollment in insurance networks to ensure timely and accurate completion.
3. Communicate with healthcare providers, insurance companies, and other third parties to obtain necessary information and resolve any issues.
4. Conduct thorough and accurate verification of provider credentials, including education, training, licenses, and certifications.
5. Maintain organized and up-to-date records of provider credentials and enrollment status.
6. Collaborate with internal teams to ensure compliance with regulatory requirements and company policies.
7. Identify and escalate any potential issues or discrepancies in provider credentials or enrollment.
8. Provide excellent customer service to internal and external stakeholders, addressing any questions or concerns regarding credentialing and enrollment.
9. Keep up-to-date with industry changes and updates related to credentialing and enrollment processes.
10. Contribute to process improvement initiatives to streamline and enhance the credentialing and enrollment process.
11. Adhere to strict confidentiality standards when handling sensitive provider information.
12. Meet established productivity and quality metrics to ensure efficient and accurate completion of credentialing and enrollment tasks.
13. Participate in training and development opportunities to enhance knowledge and skills related to credentialing and enrollment.
14. Maintain a positive and professional attitude while representing Atrium Health and its mission to provide high-quality healthcare.
15. Perform other duties and responsibilities as assigned by management.

According to JobzMall, the average salary range for a Credentialing Enrollment Specialist in Macon, GA, USA is between $33,000 and $45,000 per year. However, this can vary depending on factors such as experience, education, and specific job responsibilities.

Atrium Health, formerly Carolinas HealthCare System, is a not for profit hospital network which operates hospitals, freestanding emergency departments, urgent care centers, and medical practices in the American states of North Carolina, South Carolina and Georgia.