PRIMARY FUNCTION:

Responsible for all aspects of payer credentialing. Must be able to independently complete all payer credentialing and enrollment tasks. Responsible for researching and resolving credentialing/AR issues.

Will also be responsible for the provider/payer affiliations in the Soarian system. Responsible for other special projects as needed.

PRINCIPAL DUTIES AND RESPONSIBILITIES:   

Complete and submit payer enrollment applications

Communicate with providers regarding their applications

Follow up with payers on submitted information

Continuously validate and update provider information with the payers

Investigate and resolve AR issues involving credentialing

Work closely with other CCHS departments

Performs other related duties as required

Perform assigned work safely, adhering to established departmental safety rules and practices;  reports to supervisor, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitor

DIRECTION/SUPERVISION RECEIVED:

Billing Manager and Operations Coordinator

EDUCATION AND EXPERIENCE REQUIREMENTS:

Associates degree preferred

3 years working in all aspects of payer credentialing

3 years working in physician billing accounts receivable

KNOWLEDGE, SKILL, AND ABILITY REQUIREMENTS:

Knowledge of all aspects of payer credentialing

Out of State Medicaid credentialing experience a plus

Knowledge of A/R follow-up

Knowledge of Excel

Knowledge of physician office practices

Soarian experience

Proficient with different computer systems

Ability to work in a high-paced environment and pay attention to detail

Ability to multitask

Must be a team player

CHRISTIANACARE OFFERS:

Collaborative and team focused environment

Full Medical, Dental, Vision, Life Insurance, etc.

403(b)

Generous paid time off

Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.