Provider Enrollment Specialist at Blue Cloud
Pennsylvania, US

Are you tired of commuting to Baltimore or Harrisburg? If yes, come work for us! We are seeking a qualified Provider Enrollment and Credentialing Specialist for our corporate office located in Glen Rock, PA. This position will be responsible for completing initial enrollments, re-credentialing, updates and terminations with insurance plans for providers and ambulatory surgery centers in multiple states.

Responsibilities

  • Complete payer credentialing and re-credentialing applications for providers and ASC.
  • Prepare contracts and fee schedules for review and approval.
  • Responsible for follow through on payer credentialing/contracting progress for providers and ASC.
  • Complete and update CAQH database.
  • Complete Medicare enrollments via PECOS.
  • Maintain all files electronically.

 

 
POSITION REQUIREMENTS

High School Diploma or GED.

3+ years of experience completing the provider enrollment process with insurance companies is preferred

Experience with CAQH and PECOS is preferred

Ability to organize and prioritize work and manage multiple priorities

Ability to meet deadlines

Excellent written, verbal and interpersonal communication skills

Proficient computer software and database skills

Ability to multi-task and work in a fast paced, high volume environment

 
OTHER  
BENEFITS We offer a competitive salary along with medical, vision and dental insurance, Flexible Spending and Health Savings Accounts, PTO (paid time off), short and long term disability and 401K.  
ABOUT THE ORGANIZATION Blue Cloud Pediatric Surgery Centers (Blue Cloud) is a healthcare services organization focused on providing ambulatory surgery centers (ASC's) to dental practitioners for the delivery of comprehensive dental services under general anesthesia. These services are provided mainly to underserved pediatric and special needs patients. Visit us at www.bluecloudpsc.com.  
EOE STATEMENT We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.

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