Provider Enrollment Specialist

Full Job Description

Overview:

Weiss Medical is a growing Allergy, Asthma and Immunology practice. The practice has three locations in New Jersey – Riverdale, Paramus and Westwood along with one location in West Nyack NY. The practice is 18 years old. There are six board certified Allergists and one Nurse Practitioner with over 50,000 patients registered in the practice. The ideal candidate will have mastered Word, Excel, and all Office products. This is an administrative position that performs and/or coordinates all activities associated with credentialing and re-credentialing physicians and providers with payers and hospitals.

Responsibilities:

• Maintains physician credentialing database in network drive folders.
• Prepares applications for submission to insurance companies for credentialing and re-credentialing.
• Tracks progress of insurance enrollments and follows up as needed.
• Completes primary source verifications for all new credentialing and re-credentialing files.
• Communicates regularly with billing team to confirm new hire start dates in relation to the credentialing process.
• Ensures expiring licenses and certifications have been obtained, reviewed and filed appropriately.
• Coordinates with all new and existing physicians and provides information on the credentialing process.
• Maintains accurate and complete information on all physicians.
• Removes departing physicians from systems, enrollments and processes.
• All other duties as assigned.

EDUCATION AND/OR EXPERIENCE:

• High school diploma or equivalency required. Associate's degree preferred.
• One to three years’ experience in credentialing physicians and/or insurance enrollments required.
• Knowledge and proficiency in Microsoft Office and file management.

OTHER SKILLS AND ABILITIES:

• Knowledge and proficiency in grammar and spelling skills.
• Knowledge of basic medical terminology.
• Ability to operate automated standard office equipment such as multi-line phone system, copier, fax machine, shredder, etc.
• Ability to effectively communicate with others verbally and in writing.
• Ability to meet assigned deadlines.
• Ability to interpret, comprehend, and transmit complicated and detailed instructions accurately.

Job Types: Full-time, Part-time, Contract

Pay: $25.00 - $30.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Health insurance

Schedule:

• Day shift
• Monday to Friday

Ability to commute/relocate:

• Riverdale, NJ 07457: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Microsoft Office: 1 year (Preferred)
• Microsoft Word: 1 year (Preferred)

Work Location: One location

Salary : $25 - $30