Payor Credentialing & Enrollment Specialist

Mount Carmel Health System; Columbus (OH); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Medical benefits

Dental & Vision

Retirement match

Paid time off

Tuition reimbursement

DailyPay

Job summary

Mount Carmel Health System is seeking a Credentialing Coordinator to oversee credentialing and re-credentialing for a large multi-specialty medical group and multiple hospital facilities. You will coordinate insurance credentialing and enrollment with payers, maintain databases, and support billing teams; collaborate with providers, operations, and revenue cycle staff to ensure timely enrollment.

This full-time role offers comprehensive benefits and opportunities for professional development

Qualifications

• Requires an associate degree and 3-5 years of professional office experience, including 2 years of medical billing.
• Experience with third-party payor credentialing, enrollment, or facility privileging preferred.
• Knowledge of Medicare, Medicaid, HMOs and Commercial insurance plans.

Responsibilities

• Coordinate facility privileging and re-privileging for Medical Group Providers, including collecting information, completing forms, coordinating submission, and following up as needed.
• Facilitate malpractice credentialing applications and renewals for all employed providers, including annual payer updates.
• Maintain databases to support credentialing and enrollment and act as liaison to providers, operations, and revenue cycle teams.

Skills

Credentialing coordination

Medical billing

Database management

Liaison skills

Education

Associate degree

Tools

Medicare/Medicaid knowledge

Payer enrollment systems

Job description

Mount Carmel Health System is seeking a Credentialing Coordinator to oversee credentialing and re-credentialing for a large multi-specialty medical group and multiple hospital facilities. You will coordinate insurance credentialing and enrollment with payers, maintain databases, and support billing teams; collaborate with providers, operations, and revenue cycle staff to ensure timely enrollment.

This full-time role offers comprehensive benefits and opportunities for professional development