Provider Enrollment Specialist - Hybrid/Remote Work Available
Overview
Outpatient Imaging Affiliates is currently seeking an experienced Provider Enrollment Specialist for their corporate office in Franklin, TN. This position will assist in overall provider contracting and credentialing functions, interact with all departments to meet contracting and credentialing objectives, and perform all job tasks within organizational, contractual, regulatory, licensure, accreditation and delegation standards.
In Short
Perform day to day activities of contracting, provider enrollment, and credentialing for OIA sites and physicians
Assist on all credentialing projects, including applications and data maintenance
Maintain credentialing information electronically via shared computer files, and CAQH
Perform follow-up with health plans to expedite participation approval
Track all credentialing/re-credentialing time frames
Conduct monthly monitoring of licenses and certifications
Assist in maintaining credentialing and contracting database
Investigate and resolve credentialing and contracting issues
Gather required materials for credentialing
Monitor payer websites for updates and changes
Requirements
Bachelors Degree preferred; high school diploma or equivalent required
Minimum of two years experience in a credentialing or contracting environment
Experience in radiology related field is desirable
Knowledge of claims administration and network development
Familiarity with compliance requirements for managed care contracting
Excellent verbal and written communication skills
Proficient in necessary computer applications
Self-motivated and detail-oriented
Ability to work independently and meet deadlines
Professional and positive interaction with team members
Benefits
Competitive pay and benefits
Opportunity for professional growth
Supportive work environment
Equal opportunity employer
Apply Now
Outpatient Imaging Affiliates is currently seeking an experienced Provider Enrollment Specialist for their corporate office in Franklin, TN. This position will assist in overall provider contracting and credentialing functions, interact with all departments to meet contracting and credentialing objectives, and perform all job tasks within organizational, contractual, regulatory, licensure, accreditation and delegation standards.
In Short
Perform day to day activities of contracting, provider enrollment, and credentialing for OIA sites and physicians
Assist on all credentialing projects, including applications and data maintenance
Maintain credentialing information electronically via shared computer files, and CAQH
Perform follow-up with health plans to expedite participation approval
Track all credentialing/re-credentialing time frames
Conduct monthly monitoring of licenses and certifications
Assist in maintaining credentialing and contracting database
Investigate and resolve credentialing and contracting issues
Gather required materials for credentialing
Monitor payer websites for updates and changes
Requirements
Bachelors Degree preferred; high school diploma or equivalent required
Minimum of two years experience in a credentialing or contracting environment
Experience in radiology related field is desirable
Knowledge of claims administration and network development
Familiarity with compliance requirements for managed care contracting
Excellent verbal and written communication skills
Proficient in necessary computer applications
Self-motivated and detail-oriented
Ability to work independently and meet deadlines
Professional and positive interaction with team members
Benefits
Competitive pay and benefits
Opportunity for professional growth
Supportive work environment
Equal opportunity employer
Apply Now