Top 2 Credentialing coordinator Jobs in Miami Fl

Payer Enrollment Coordinator
Northern Light Radiology Associates, Inc —Hollywood, FL
- Monday to Friday
- Mid-level
- Office
- Communication skills
Medical Staff Coordinator - Physician Hospital Credentialing
Northern Light Radiology Associates, Inc —Hollywood, FL
- Mid-level
- Office
- Continuous improvement
- Paid holidays
- Disability insurance

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Medical Staff Coordinator - Physician Hospital Credentialing
Northern Light Radiology Associates, Inc —Hollywood, FL
Adhere to all federal, state, and local healthcare regulations governing credentialing, licensing, and medical staff services.
Credentialing Specialist
Northern Light Radiology Associates, Inc —Hollywood, FL
Adhere to all federal, state, and local healthcare regulations governing credentialing, licensing, and medical staff services.
$23 - $25 an hour

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Payer Enrollment Coordinator

Northern Light Radiology Associates, Inc
Hollywood, FL

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Job Details

Qualifications

Revenue cycle management
Provider enrollment for medical credentialing

Full Job Description

The Revenue Cycle Management Department at Northern Light Medical Management has an exciting opportunity for a highly motivated Payer Enrollment Coordinator with experience in insurance enrollment and revenue cycle management. We are a successful, growing, hospital-based Medical Management company looking for the perfect candidate who is dedicated to teamwork and operational excellence.

The incumbent will be responsible for facilitating the enrollment process for insurance plans on the payer side, ensuring that all necessary documentation is completed accurately and in a timely manner. The Payer Enrollment Coordinator will work closely with insurance providers and clients to ensure seamless communication and coordination throughout the enrollment process.

Responsibilities:

Gather provider information & updates provider’s CAQH profiles

Assist clients with completing enrollment forms and gathering required documentation

Communicate with insurance providers to address any issues or discrepancies during the enrollment process

Enroll group and providers with payers

Must have knowledge and experience of payer enrollment requirements for in network & out of network providers

Maintain updated records of client enrollment statuses and insurance information

Collaborate with internal teams to ensure a smooth transition for clients between enrollment and service delivery

Provide support and guidance to clients throughout the enrollment process, answering any questions or concerns they may have

Stay up-to-date on industry trends and changes in insurance enrollment requirements and regulations

Collaborate with the billing and claims teams to ensure accurate and timely processing of insurance claims

Qualifications:

Degree or a combination of education and training

Must have previous experience in insurance enrollment coordination and revenue cycle management

Experience working with Credential Stream/Verity or other similar credentialing software

Knowledge of CAQH process

Knowledge of State Medicaid requirements

Strong attention to detail and the ability to work efficiently in a fast-paced environment

Excellent communication and interpersonal skills

Proficiency in Microsoft Office 365 applications and other relevant software programs

Knowledge of insurance policies, procedures, and regulations

Ability to multitask and prioritize workload effectively

This position is onsite 8am - 5pm, M - F at our Hollywood corporate office.

If you are a detail-oriented and organized individual with a passion for helping clients navigate the insurance enrollment process, we want to hear from you!

To learn more about Northern Light we encourage you to visit our website: www.northernlightmm.com.

Apply Now

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credentialing coordinator jobs in miami fl

Payer Enrollment Coordinator

Medical Staff Coordinator - Physician Hospital Credentialing

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