NAMSS Certified Enrollment Specialist

Job Summary

A company is looking for an Enrollment Specialist 2, Remote, Managed Care Network, FT, 8:30A-5P.

Key Responsibilities

• Complete enrollment applications for government-funded payment programs for employed physicians and facilities
• Maintain positive relationships with managed care insurance payors and serve as a central contact for related issues
• Ensure all applications and documentation for compliant reimbursement are up to date and properly maintained

Required Qualifications

• Associate's degree
• NAMSS Certified Professional Credentialing Specialist certification
• At least 10 years of experience in a healthcare setting, with 5 years in a hospital business office
• Experience in managed care positions dealing directly with payors and providers
• Strong working knowledge of CAQH, PECOS, NPPES, and proficiency in MS Office