Provider Enrollment & Credentialing Specialist I

Paycom; Atlanta (GA); On-site; USD 42,000 - 64,000; Full time

Job summary

Paycom is seeking an Enrollment Specialist to facilitate and maintain provider enrollments with multiple payers for billing purposes. You will ensure timely submissions before the first date of service and maintain credentialing records with accuracy.

Strong communication, organization, and multitasking are essential as you coordinate with A/R and payer representatives, troubleshoot enrollment issues, and track provider numbers in Salesforce.

Qualifications

• High School Diploma or equivalent.
• Excellent communication and organizational skills.
• Ability to multitask with accuracy.
• Exceptional attention to detail.
• Ability to meet deadlines consistently.

Responsibilities

• Maintain records of applications, documents, and approval/revalidation letters.
• Evaluate information on applications for completeness and accuracy.
• Troubleshoot enrollment issues for assigned providers.
• Keep supervisor on enrollment issues that may affect billing numbers.
• Ensure all provider enrollment applications are submitted before first date of service.
• Submit enrollment applications timely to ensure correct effective date.
• Follow up promptly to avoid delays in obtaining provider billing numbers.
• Announce provider numbers within 24 hours of receiving the number or next business day.
• Ensure all enrollment applications are submitted within two weeks after obtaining the financial signature pages.
• Organize and maintain Salesforce with credentialing statuses and payor numbers.

Skills

Great communication skills

Strong organizational skills

Ability to multitask

Education

High School Diploma or equivalent

Tools

Salesforce

Job description

Paycom is seeking an Enrollment Specialist to facilitate and maintain provider enrollments with multiple payers for billing purposes. You will ensure timely submissions before the first date of service and maintain credentialing records with accuracy.

Strong communication, organization, and multitasking are essential as you coordinate with A/R and payer representatives, troubleshoot enrollment issues, and track provider numbers in Salesforce.