Credentialing/Enrollment Specialist - Texas Transplant Physician

Details: Job:  Credentialing GENERAL SUMMARY OF DUTIES - Responsible for processing new and established provider group applications, follow up and relationship building with Market Managers, Practice managers, payors, providers and inner department personnel regarding all facets of  Provider Enrollment.   DUTIES INCLUDE BUT ARE NOT LIMITED TO:Processing all new and established provider/group applications, which includes review, completion, highlighting, and mailing of applications to payors, PIN confirmation and submission, follow up and contact documentation.Process all assigned incoming mail.Provides excellent customer service to all external and internal customers, which includes acting in a courteous professional manner at all times, answering phone calls, follow up, sending letters and taking care of incoming mail.Builds relationships with Market Managers, Practice Managers, payors, providers and company associates which include communication, active listening, training and education and proactive problem resolution.Updates and maintains data in all Provider enrollment/credentialing forms or systems, to include but not limited to CAQH, Texas Standard Application, NPPES.Notifies Provider/Group, Billing Department of new provider numbers, and submits necessary documentation to support the notification, as well as updating internal tracking systems.Participates in education activities and programsAssists other staff as requested.Enters data, creates provider/group file and ensure integrity as requiredMeets/adheres to all established individual objective and department standards.Practice and adhere to the 'Code of Conduct' philosophy and 'Mission and Value Statement.'  KNOWLEDGE, SKILLS AND ABILITIES - This position requires the following minimum requirements:Customer Service orientationData Entry SkillsProblem Solving and analytical skillsStrong organizational skillsMathematical skillsStrong PC skillsSkills in technology such as word processing, spreadsheets, databasesAbility to maintain confidentiality

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