Description
General Summary of Position
The MedStar Corporate Managed Care team is seeking a full time Payor Enrollment Specialist to join our team. This is a Full-Time, Monday – Friday position, 8:30am - 5:00pm. The selected candidate will enjoy a hybrid schedule with the opportunity to work from home with infrequent on-site requirements. Office location is Rosedale, Maryland.
As a Payor Enrollment Specialist, you will facilitate provider enrollment and managed care insurance credentialing/re-credentialing processes to ensure employed and/or contracted practitioners and facilities are enrolled timely in payor panels on behalf of the MedStar hospitals and MedStar Ambulatory Medical Groups, including physicians, allied health professionals, and ancillaries in MD, DC, and VA. Builds and maintains positive relationships with managed care insurance/payors and serves as a central point of contact regarding managed care insurance/payor issues.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- Bachelor's degree preferred or (equivalent work experience) in business, or related health care discipline required
- One year of relevant education may be substituted for one year of required work experience.
Experience
- 5-7 years health care experience in managed care credentialing, payor relations and physician relations including experience working for a managed care insurance plan required
- Experience with practitioner credentialing process, and experience completing managed care credentialing applications required
- Customer service and managed care contract experience preferred
Knowledge, Skills, and Abilities
- Excellent verbal and written communication skills.
- Strong organizational, interpersonal, and critical thinking skills.
- Ability to work independently with minimum supervision.
- Ability to analyze and evaluate data and other provider-related problems and to develop alternative solutions for a positive outcome.
- Must be able to multi-task and prioritize workload and pay meticulous attention to detail.
- Proficient in Microsoft Office software programs (Word, Excel, and PowerPoint).
- Credentialing software experience required.
This position has a hiring range of $23.19 - $38.49
Apply on company website