Remote Provider Enrollment Credentialing Specialist

LBMC is a great place to work and we have the awards and people to prove it! As one of the fastest growing companies since our inception over 30 years ago, we know that people are the key to how to maintain our success. Our people, culture, benefit options, growth opportunities, and not to mention that we are located in some pretty amazing cities in Tennessee, all come together to make us a TOP Workplace!

Position Summary:

Provider Enrollment/Credentialing Specialist is responsible for submitting and maintaining provider enrollments to ensure timely application submissions and continued PAR statuses. Responsibilities may include assisting providers with obtaining initial/renewal state licensures.

ESSENTIAL FUNCTIONS:
? All functions require detailed notes of communications, application statuses, and follow ups.
? Request payor contracts on behalf of our clients and pursue contracting through to completion.
? Research current group/provider payor processes, secure payor representative contacts, verify group/provider statuses timely and accurately.
? Communicate payor process updates to leadership.
? Assist providers with obtaining/renewing medical licenses.
? Establish and maintain CAQH group/provider accounts. Perform quarterly Reattestations timely.
? Complete/Submit group/provider enrollment payor applications, follow through to completion.
? Payor Escalations when processing time exceeds standard processing ETA.
? Respond to payor recredentialing/development requests promptly.
? Provide clear and accurate status updates in weekly/bi-weekly client meetings. Respond to client requests timely and professionally.
? Knowledge of Hospital initial appointment/reappointment application processes a plus.

REQUIREMENTS: ? Three years of Provider Enrollment experience. ? Excellent attention to detail. Able to effectively maintain multiple priorities. ? Proficient in Microsoft Office products. ? Candidate must be able to work independently on projects and communicate project status to leadership and clients in a professional manner.

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