RCM Credentialing Specialist / Payor Enrollment Specialist

Key Responsibilities

• Process provider applications and re-applications, initial mailing, review and loading into the database tracking system ensuring high quality standards are maintained.
• Renew medical licensure, hospital privileges and board certifications, DEA registrations and any other required credentialing documents for provider.
• Prepare weekly and monthly updates as requested.
• Utilize critical thinking skills to reconcile errors/updates in a timely manner.
• Utilize spreadsheets by preparing and monitoring client specific statistics and updates these immediately as contracted provider numbers are received, for review by all internal staff as needed and is communicated to the appropriate parties.
• Provide application and technical support to other team members and clients.
• Develop and maintain documentation that assures the credentialing processes are complete and accurate.
• Conduct professional oral and written communications with Client’s staff, facility staff, payor sources and clients as needed.

Requirements

• Previous healthcare credentialing experience.
• The ideal candidate has payor/provider enrollment experience AND hospital credentialing experience.
• Basic knowledge of insurance law, guidelines, and application language, in addition to payor requirements such as specific form requirements and reimbursement methods.
• Prioritizes and demonstrates proficiency in reviewing applications and identifying requirements posed by individual payers.
• Highly organized to meet deadlines and work independently in a fast paced, multi-functional environment where tasks and assignments are constantly changing.
• Knowledge of Microsoft Office programs and tools.
• Experience assisting clients with maintenance of current compliance regulations.
• Demonstrates strong interpersonal skills with the ability to establish and maintain effective working relationships with staff, external agencies and clients.
• Prompt and dependable attendance.

About the Role

We offer a competitive salary and benefits package, as well as opportunities for growth and development within the organization. Our total rewards package reflects our commitment to creating a diverse and supportive workplace. A positive work environment with passionate leaders that believe in collaboration, innovation, and career growth.

Founded in 2009, UnisLink helps medical providers optimize revenues, improve outcomes and reduce costs through better process management, data analytics, and outsourcing. Throughout its journey to date, UnisLink has fostered an entrepreneurial culture and attracted and retained a highly skilled team of professionals in the areas of medical billing/RCM, data analytics, product development, account management and customer service to serve clients.

The company is built upon the core values of Respect, Integrity, Customer Focus and Continuous improvement. UnisLink is committed to combining diversity, collaboration, and excellence. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, protected veteran status, or based on disability.