General Summary:

Provides administrative services to support the credentialing/paneling of PA and Affiliate providers with managed care companies and the enrollment of those providers with third party payors. Processes credentialing/recredentialing materials and enrollment applications, tracks the credentialing status for all providers. Interfaces with Medical Staff Office. Monitor delays in responses from companies, researching problems that impact enrollment. Interfaces with Program Directors, Affiliate Directors and Administrators regarding the enrollment process and status of providers. Establishes and maintains database of credentialing status and enrollment provider/rendering numbers. Develops guidelines, instructions and the like to assist providers, and provide administrative support for program development.

Knowledge, Skills, and Abilities Required:

High School diploma or equivalent required. Proficiency with CAQH, PECOS, NPPES, CMS I&A and ePREP portals. Proficiency with EchoCredentialing, Netsmart myEvolv, and Athena IDX software strongly preferred, but not required. Strong knowledge of medical insurance and healthcare revenue cycle. Ability Ability to balance and prioritize multiple ongoing projects. Interpersonal skills sufficient to communicate professionally and effectively with program directors, clinicians, members of the insurance/managed care community, and other internal staff. Meticulous attention to detail. Advanced knowledge of Microsoft Excel formulas and functions. Ability to accurately input data in various databases with a high level of precision and minimal error.

Benefits:

At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:

A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation Comprehensive medical, dental and vision benefits for benefit eligible positions 403b retirement match Generous paid-time-off for benefit eligible positions Complimentary Employee Assistance Program (EAP) Generous mileage reimbursement program

The pay range for this position is $21.84/hr minimum to $32.97/hr maximum.  Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience.