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Provider Enrollment Application Specialist

Company: Springfield Clinic
Location: Springfield
Posted on: March 26, 2020

Job Description:

Provider Enrollment Application Specialist - Springfield, IL Come Grow With Us at Springfield Clinic! Excellent Opportunity to advance your career as a Provider Enrollment Application Specialist with a top progressive, physician-led multispecialty medical group in Springfield, IL.--Springfield Clinic is devoted to providing the highest quality health care to its patients with more than 450 physicians and advanced practitioners delivering value-based care in approximately 80 medical specialties and sub-specialties. As one of the largest private multispecialty medical clinics in Illinois, Springfield Clinic currently employs over 2,000 clinical and administrative staff members who are committed to improving health, providing value and serving the community. Summary/Qualifications: The Provider Enrollment/Application Specialist is responsible for implementation, support and maintenance of credentialing software and provider enrollment duties. Bachelor's degrees in business or related field required.--Proficient in all Microsoft Office tools, including Excel, Access, PowerPoint and Word.--Ability to manage multiple tasks and work in a fast-paced environment.--Detail oriented and able to deliver a high level of accuracy.--Strong communication skills. -- Responsibilities: This role is responsible for provider enrollment and for the administration of the credentialing database-- Application Administrator and Analyst for the Medical Staff credentialing data baseDevelop and maintain the implementation, support and configuration procedures, contribute to and maintain system security controls, database queries/reports, dashboards, and system troubleshooting.--Train users including any updates or upgrades to maximize utilization of program.--Strong understanding of capabilities and functionalities to Medical Staff Provider Services Department.--Manage software and software upgrades.--Diagnose, research, and resolve software problems for the system to ensure the timely recovery of data and continue software functionality during critical outage situations using system resources and system utilities.--Attend education programs on and off site as required.---- Provider Enrollment:-- Manage the completion and submission of provider enrollment applications.--Perform tracking and follow-up to ensure provider numbers are established timely and linked to appropriate entity of Client.--Understand specific application requirements for each payer including pre-requisites, forms required, supporting documentation (DEA, license, CV, etc.) and regulations.--Maintain documentation and reporting regarding the enrollment process.--Retain records related to completed enrollment applications.--Work closely with Client and/or provider to expedite completion of forms and requirements including obtaining signatures, locating required documentations, etc.--Maintain provider enrollment information within the credentialing database and on-line required credentialing systems.--Ensure that all credentials files are current and complete pursuant to expiration date of medical license, board certification, professional liability insurance, DEA and other pertinent information as required by Client and Client's third-party entities (facilities, payers, etc.)--Process applications for providers for re-credentialing with facilities and/or payers.--Comply with the Springfield Clinic incident reporting policy and procedures.--Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.--Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.--Perform other job duties as assigned.---- -- Why Join Us? --Our growth means exciting career opportunities for you! We attract and retain the smartest and brightest professionals in the healthcare industry--Competitive compensation --Comprehensive benefit package including Health Insurance, Dental, Vision, Short & Long-Term Disability, Life & AD&D Insurance, Flexible Spending Accounts (FSA), Health Savings Accounts (HSAs), Employee Assistance Program (EAP) Paid Time Off, 401k, Profit Sharing, local business discounts, and more--Opportunity to work for a company that invests in your success in a position that offers variety and unlimited growth potential--We are an Equal Opportunity Employer and are committed to hiring and retaining a diverse workforce.

Keywords: Springfield Clinic, Springfield , Provider Enrollment Application Specialist, Other , Springfield, Illinois

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