Provider Enrollment Representative

TruBridge is seeking a Provider Enrollment Representative to join our growing team of professionals. The main functions of this role include: Initiating the enrollment and credentialing process for health care provider applications and complies and processes data in compliance with program requirements. This position ensures thorough and timely verification of all provider credentials and application materials. This will include, but not be limited to, responsibility for credentialing new and established health care providers, and the maintenance of information including primary source verification, provider follow-up, data collection, data entry, and document file review and provider update requests.

Responsibilities

• Support the Performance Improvement process.
• Utilize provider enrollment software to track and follow up on enrollment applications.
• Assist the Director in the development, implementation, and maintenance of physician enrollment processes.
• Create and revising enrollment forms, as necessary.
• Research and establish process for new payer contracts an or new states as they arise.

Qualifications

• One plus years of experience in healthcare
• Attention to detail is a must
• Knowledge and/or experience reviewing provider enrollment applications. Knowledge of a variety of payers and their systems/ processes (Medicare, Medicaid, Blue Cross, etc)
• Experience working with CAQH, One Health Port, and PECOS a plus

Why join our team?

If you join us, you will receive:

• Work remotely with a work/life balance approach
• Robust benefits offering, including 401(k)
• Generous time off allotments
• 10 paid holidays annually
• Employer-paid short term disability and life insurance
• Paid Parental Leave