Job Description
Play a vital role in the process of payer credentialing for physicians and other non-physician healthcare practitioners by preparing credentialing applications, advocate on behalf of clients with insurance companies for timely completion of the credentialing process, documenting processes in our credentialing platform, interacting with clients via telephone and email, and other administrative duties in support of the nCred's service delivery.
nCred is currently seeking a full time Provider Enrollment Specialist for its Chattanooga, TN office. The ideal candidate will have 2 - 4 years of healthcare administration experience such as billing and/or credentialing. The position requires superb communication skills, a mature grasp of organizational hierarchy, ability to prioritize tasks and projects, with the discretion to know when to act independently and when to ask for guidance and/or assistance. This job is vital to the success of our clients and demands flexibility, a customer-focus, organization and a passion for details.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Process payer credentialing applications for practitioner clients
Data entry of provider data in the nCred credentialing system and CAQH
Advocate for our clients with insurance plans to complete the credentialing/contracting process in a timely manner
Handle inbound and outbound calls to answer questions from insurance carriers and clients
Process provider credentialing/enrollment applications as assigned
Review/audit provider status logs, lists, records, and current documentation required for physician/provider credentialing and re-credentialing
Verify physician/provider information for managed care plans including communication with health plan representative and other staff as necessary
Deliver exceptional client service and support that underpins the ongoing relationship between the client and team
Have a thorough understanding of company policies and processes
Document scanning and uploading to credentialing systems and CAQH
Maintenance of expiring documents for practitioner clients
Assist clients in navigating the nCred credentialing portal
Process reports for clients as requested
ESSENTIAL SKILLS, EXPERIENCE AND EDUCATION
Ideal candidate must be highly self-motivated with a basic understanding of healthcare credentialing/contracting
Highly motivated and success-driven with the ability to implement and manage cross functional projects
High school diploma or equivalent
Minimum 1-2 years’ in healthcare administration field such as billing, credentialing, contracting, etc.
Proficiency in Google Apps (Docs, Sheets, Gmail, Drive, etc) and Microsoft Office
Proficiency with internet research and ability to quickly adapt to new software platforms
Strong organizational and excellent follow-up skills
Ability to interact effectively with a variety of people (physicians and medical staff offices)
Provides highest level of customer service for both internal and external customers
Strong written and verbal communication skills. Strong presentation and client interaction skills
Candidates meeting the required skills and experience are encouraged to apply.
Company Description
National Credentialing Solutions “nCred” is a leading service provider dedicated to improving the credentialing life cycle for healthcare clients. nCred provides services using its cloud-based platform with automated workflow, analytics, and business intelligence to organizations of all sizes in the United States. nCred helps clients “Take Control” of their credentialing life cycle by streamlining operations, reducing credentialing related denials, and generating more cash for their organizations. The company has a “high energy” work environment that rewards innovation and results. nCred clients are physicians and non-physician practitioners in medical and behavioral healthcare services. Our primary service is assisting client practitioners to become in-network providers for health plans, IPAs, and PHOs. We also help clients with medical licensing applications, facility privilege applications, and credentials verification services. nCred launched in 2011 and has provided services to more than 4,000 healthcare practitioners nationwide. nCred continues to grow and offer great opportunities for motivated individuals with a passion for providing excellent service.