CommuniCare Health Services
The Provider Onboarding and Enrollment Specialist is responsible for ensuring healthcare professionals are compliant with licensing and certifications. They collect and submit required onboarding documents and review claim denials to increase revenue for assigned providers.
Candidates should have at least 1 year of experience in healthcare billing, credentialing, or provider enrollment. Familiarity with compliance regulations and payer portals is also required.
1+ years of experience in healthcare billing, credentialing, or provider enrollment Experience with NPPES, CAQH, and payer portals Compliance awareness: HIPAA, CMS guidelines, billing, reimbursement, and state specific healthcare regulations. Familiarity of group and provider Medicare and Medicaid credentialing and billing. Job Skills: Strong written and oral communication skills Excellent organizational and time management abilities Ability to manage multiple tasks and track deadlines Proficiency in Microsoft Office (Word, Excel, Outlook) Since 1984, CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions. Our more than 150 skilled nursing, assisted living, and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. CommuniCare employs more than 19,000 employees across six states (Ohio, Indiana, Maryland, Virginia, West Virginia and Pennsylvania). As a family owned and operated company, family and heart are woven into every aspect of our continuum of care. Our mission, to serve with pride, is evident and a quality residents, families and community partners have come to expect and trust. Dedicated to improving the lives of seniors, we put extraordinary service above all else. We continue to raise the bar and innovate wherever possible to deliver a higher quality of life for those far beyond our facilities. Because of this, our facilities are a better place for residents to live, patients to stay, employees to work and families to heal.
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