Provider Insurance Credentialing Location Oklahoma City, OK : It's more than a career, it's a calling. OK-SSM Health St. Anthony Hospital - Oklahoma City Worker Type:
Regular Job Highlights: At SSM our mission and values put the patient first and help you to feel valued while respecting teamwork and collaboration. This position is responsible for enrolling providers with Medicare, Medicaid, other government payers and contracted commercial payers and has the opportunity to work remotely after training. We are looking for an individual with at least one year experience, preferably in credentialing, excellent at building relationships and being comfortable working with physician and executive level staff. At SSM Health, we know the healing power of presence begins with compassionate people like you.
Daily Pay : Get paid daily doing the work you love in a way that fits your life. At SSM Health St Anthony, we believe you deserve the flexibility to work a schedule that fits your life and to get paid when you need it.
Job Summary:
Responsible for proactive enrollment of physicians and other health care practitioners for participation in government programs and with contracting commercial payers. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES
Responsible for identifying denial trends and working with team to facilitate root cause analysis and continuous process improvement. Prepares and submits government credentialing applications and supporting documentation for the purpose of enrolling and re-enrolling individual physicians and other healthcare practitioners with Medicare, Medicaid and other government payers. Prepare and submit government payer re-credentialing applications as required by Medicare, Medicaid or other government payers. Coordinate with regional managed care staff to ensure physicians and other health care providers are enrolled timely with contracted commercial payers. Work claim edit work queues and add provider identification numbers to Epic to ensure claims are released for payment. Follow up on claims that are rejected or denied due to provider enrollment issues. Coordinate with medical group leaders and clinic staff on all enrollment matters, including receiving timely notification of new providers, obtaining necessary enrollment documents timely and providing feedback relating to provider issues that impede the enrollment process. Performs other duties as assigned. EDUCATION
High school diploma or equivalent EXPERIENCE
One year experience Department:
******** System/Regional Srvs Work Shift:
Day Shift (United States of America) Scheduled Weekly Hours:
40 SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.
