Base: $24.10 - $36.15 ph; bonus/equity: not specif...
Onsite
Primary source verification of documentation
Provider enrollment and credentialing experience
Managed care environment knowledge
Advocate Aurora Health is seeking a Credentialing Enrollment Specialist for its Blythe Blvd, NC location. The role involves verifying documentation for managed care credentialing, providing support for billing issues, and ensuring timely communication with Managed Care Organizations
Job Summary
This position performs primary source verifications and manages the enrollment process for MGD providers within a large integrated health system.
The role requires ongoing follow-up on critical documents such as licenses, board certifications, and DEA registrations to ensure timely compliance.
Advocate Health offers a comprehensive suite of total rewards including competitive compensation, retirement offerings, and extensive educational assistance programs.
Matching Summary
Match Score: 85
Advocate Aurora Health is seeking a Credentialing Enrollment Specialist for its Blythe Blvd, NC location. The role involves verifying documentation for managed care credentialing, providing support for billing issues, and ensuring timely communication with Managed Care Organizations.
Salary
Base: $24.10 - $36.15 per hour; Bonus/Equity: Not specified; Benefits: Comprehensive suite including medical, dental, vision, and paid time off
Skills & Requirements
Must-have
Primary source verification of documentation
Provider enrollment and credentialing experience
Managed care environment knowledge
ECHO database data entry proficiency
Follow-up on expired licenses and certifications
Nice-to-have
Experience with physician file audits
Strong verbal and written communication skills
Ability to work in a high-volume environment
Team support for quality review committees
Key Requirements
High school diploma or GED required; Bachelor's preferred
Three years' experience in provider credentialing or enrollment
Certification through NAMSS (CPCS or CPMSM) preferred
Proficiency with Windows, Microsoft applications, and multi-line telephones