Provider Credentialing & Enrollment Specialist

Saint Joseph Medical Group; London (KY); On-site; USD 52,000 - 78,000; Full time

Job summary

Saint Joseph Medical Group in Kentucky is seeking a Credentialing Professional to coordinate credentialing, re-credentialing and payer enrollment for providers in accordance with delegated agreements and regulatory requirements.

You will manage daily credentialing operations, resolve non-responsive providers, and collaborate with clinic managers and the medical staff office to ensure timely completion of processes.

Qualifications

• Degree in Business or health-related field is required.
• Experience with Microsoft Word, Excel, and website applications.
• Professional credentialing experience is preferred.

Responsibilities

• Facilitates credentialing and re-credentialing for all physicians.
• Assist with processing pre-applications, provisional reviews, and periodic review of privilege criteria.
• Systematically evaluate work processes and contribute to program development.
• Maintain the medical staff database to ensure data integrity and access.
• Collaborate with clinic managers and medical staff office to ensure timely credentialing outcomes.

Skills

MS Word

MS Excel

Website apps

Education

Bachelor's degree in Business or health related field

Job description

Saint Joseph Medical Group in Kentucky is seeking a Credentialing Professional to coordinate credentialing, re-credentialing and payer enrollment for providers in accordance with delegated agreements and regulatory requirements.

You will manage daily credentialing operations, resolve non-responsive providers, and collaborate with clinic managers and the medical staff office to ensure timely completion of processes.