Credentialing & Enrollment Specialist

Colchester, VT

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Description

Westaff is seeking an experienced administrative professional to work as a Credentialing & Enrollment Specialist for a desirable Burlington employer! The best candidate must have strict attention to detail, a strong background in professional communications via email and phone, experience with Microsoft office.

Pay: $15 – 17 (Depending on Experience)

Shift: Monday-Friday, 8:00 an – 5:00 pm

Seeking candidates who are:

  • Obtain, assess, verify and analyze provider credentials
  • Provide recommendations regarding data obtained to supervisors and managers
  • Interact with various providers, office staff and internal departments
  • Interact with payors during the credentialing and re-credentialing process
  • Data entry, integrity and maintenance of data
  • Sending notification to providers, internal organization members, departments and contracted payors
  • Monitor weekly and monthly sanctions activities
  • Maintain a working knowledge of all rule and regulations
  • Manage the state and federal enrollment of providers
  • Obtains and maintains organizational billing numbers and enrollment for group billing

Job Requirements

Requirements:

  • Three years of experience in an administration or health care field (required)
  • Detail oriented
  • Experienced in MS Office and Excel
  • Polished written, and verbal communication skills
  • Degree in business or related professional experience (preferred)
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