If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South.
- Facilitates and performs all aspects of provider enrollment including credentialing and re-credentialing of Physicians and Allied Health.
- Professionals in accordance with the policies and procedures of insurance payers.
- Tracks and maintains enrollments through timely re-validations.
- Performs follow-up with insurance payors.
- Establishes providers’ CAQH (Council for Affordable Quality Healthcare) profiles. Maintains profiles, uploads documents as required,
- and re-attests.
- Performs various clerical functions related to the credentialing process.
- Required - Bachelor's Degree Healthcare Administration
- Preferred - Bachelor's Degree Business Administration
- Preferred - High School Diploma or Equivalent
- Required - Provider Enrollment/Credentialing in a healthcare setting 3-5 years
- Knowledge of insurance payer market as it relates to the Memphis Metropolitan area.
- Knowledge of medical and professional credentialing processes including provider enrollment with the various payers and privilege appointments with various hospitals.
- Skill and proficiency with Symplr, Microsoft Word, Outlook, OneNote and Excel.
- Proficiency in NPPES, PECOS and Availity.
- Strong verbal and written communication skills.
- Ability to handle assignments independently with demonstrated analytical and interpersonal skills.
- Demonstrates ability to maintain excellent customer service skills and customer relations under stressful conditions.
- Ability to function with minimal supervision and communicate effectively with high level Associates within the Provider Enrollment community and their office staff.
- Ability to set priorities, coordinate multiple tasks, organize tasks, and maintain control of workflow.
- Strong organizational skills and must be detail oriented.
- Demonstrated deductive reasoning and ability to use reference materials.
- There are no supervisory or lead responsibilities assigned to this job.
- The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
- Must have good balance and coordination.
- The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
- The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer ter