Provider Credentialing & Payer Enrollment Specialist

Kingman Regional Medical Center

Kingman, AZ, United States
Competitive salary; employer pyid hsa for hdhp pyr...
Primary source verification of provider credentials
Caqh attestation updates every 120 days
Coordination with insurance payers for enrollment
The primary function is to collect, verify, and coordinate physician credentialing data for payer enrollment and medical staff services

Job Summary

  • The primary function is to collect, verify, and coordinate physician credentialing data for payer enrollment and medical staff services.
  • Employees join a supportive culture focused on integrity, compassion, teamwork, respect, and accountability within a not-for-profit organization.
  • The role requires maintaining effective relationships with providers, medical staff, insurance payers, and business office teams to ensure timely network affiliation.

Matching Summary

The primary function is to collect, verify, and coordinate physician credentialing data for payer enrollment and medical staff services.

Salary

Competitive salary; Employer paid HSA for HDHP participants; 403b Pension Plan with Employer Contributions

Skills & Requirements

Must-have

  • Primary source verification of provider credentials
  • CAQH attestation updates every 120 days
  • Coordination with insurance payers for enrollment
  • Maintenance of MD Staff electronic credentialing system
  • Knowledge of TJC, DNV, and NCQA standards

Nice-to-have

  • Experience in medical billing or collections
  • Multi-lingual capabilities
  • College degree preferred
  • Strong communication skills with providers
  • Ability to work in a not-for-profit culture

Key Requirements

  • High school diploma or equivalent required
  • One year experience in payer enrollment OR two years in medical billing/collections
  • Proficiency in Microsoft Office applications

Work Rights

Not specified

Tailored Resume

Cover Letter