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
• Bachelor’s 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

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