Payor Relation Enrollment Specialist (Hybrid) - CBO Phys Payor Enrollment - Part Time - Days

The Christ Hospital Health Network; Norwood (OH); On-site; USD 40,000 - 60,000; Full time

Job summary

An established industry player is seeking a detail-oriented Credentialing Specialist to join their team. This role involves managing the credentialing process for physicians and allied health providers, ensuring all applications are completed accurately and timely. The ideal candidate will have excellent computer skills, attention to detail, and the ability to thrive under pressure. Join a dynamic environment where your contributions will directly impact healthcare quality and provider relations. If you have a passion for organization and accuracy, this position offers a rewarding opportunity to make a difference.

Qualifications

• 3-5 years of experience in credentialing required.
• High School diploma or equivalent, some college preferred.

Responsibilities

• Complete and review provider applications with accuracy.
• Ensure timely submissions of re-appointments and re-credentials.
• Maintain accuracy of and update CAQH database.

Skills

Credentialing

Computer Skills

Attention to Detail

Database Management

Word Processing

Spreadsheet Management

Adaptability

Education

High School Diploma

Some College

Job description

Job Description

This position is responsible for the Credentialing of physicians and allied health providers.

Responsibilities

Complete and review Provider applications with accuracy and thoroughness, contact providers for application information when necessary, contact government agencies and managed care companies to obtain status and resolve discrepancies related to provider applications, and follow-up with physicians and assist with completing applications.

Ensure timely submissions of all re-appointments and re-credentials, verifies all licenses are current, and maintains internal files, including copies of current credentials.

Follow up and communicate regularly with TCHMA Administration, Billing Dept. and Office Managers.

Maintain accuracy of and update CAQH database.

All other duties as assigned.

Qualifications

EDUCATION: High School diploma or equivalent. Some college preferred.

YEARS OF EXPERIENCE: 3-5 years of experience in credentialing

REQUIRED SKILLS AND KNOWLEDGE: Excellent computer skills, to include word processing, spreadsheet and database management. Ability to work under pressure and adaptable to change. Attention to detail and accuracy are essential.