Job Summary:
Under general supervision and co-reporting to the Director of Physician Practice Billing and Executive Director of Revenue Cycle, the Credentialing Specialist coordinates and facilitates the enrollment of Emerson Practice Associates professional providers with various payers for professional services reimbursement. Reviews provider credentialing and/or recredentialing data for accuracy and submission to appropriate billing vendor for payer enrollment. Obtains information from professional providers, databases, and other sources. Completes timely consolidation of required documentation for enrollment process to begin. Continually follows up on enrollment and/or recredentialing statuses until complete. Resolves issues as they are identified in a timely manner. Maintains systems/applications used in the enrollment processes, including but not limited to central provider roster.
Minimum Qualifications:
Education:Experience:
Licensure and/or Certification:
Skills: