Credentialing Specialist I Provider Enrollment

CityState

Norfolk, VA

Work Shift

First (Days)

Overview:

Sentara Health is hiring a Payor Enrollment Credentialing Specialist I for the Provider Credentialing Department.

This is a Fulltime, 40 hours per week Day shift position MonFri between the hours of 7:00am5:00pm.

Responsible for ensuring that healthcare professionals and providers meet the necessary qualifications and comply with all regulatory and accreditation standards. This role involves gathering and verifying a variety of documents and information, coordinating with healthcare providers, and maintaining accurate and uptodate credentialing files.

Education

• High School Diploma

• CertificationLicensure

  • CPCS Certified Provider Credentialing Specialist (Preferred)

  • Experience

    • Requires thorough knowledge of managed care provider credentialingrecredentialing principles, methods, regulations, and procedures normally acquired through a minimum of 1 year of directly related experience. Acceptable areas demonstrating experience would be direct work experience with organizations such as a CVO, MCO, HMO or Hospital Based Credentialing (MSO).

    • Keywords: TalrooHealth Plan, Monster, LinkedIn, Credential Stream, excel, data analysis, accounts receivable, Epic, revenue cycle, billing, provider not enrolled denials, appeals, onboarding, MPI, CAQH, CVO, MCO, HMO or Hospital Based Credentialing (MSO).

      Benefits: Caring For Your Family and Your Career
      • Medical, Dental, Vision plans
      • Adoption, Fertility and Surrogacy Reimbursement up to $10,000
      • Paid Time Off and Sick Leave
      • Paid Parental & Family Caregiver Leave
      • Emergency Backup Care
      • LongTerm, ShortTerm Disability, and Critical Illness plans
      • Life Insurance
      • 401k403B with Employer Match
      • Tuition Assistance – $5,250year and discounted educational opportunities through Guild Education
      • Student Debt Pay Down – $10,000
      • Reimbursement for certifications and free access to complete CEUs and professional development
      •Pet Insurance
      •Legal Resources Plan
      •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
      Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
      
      In support of our mission “to improve health every day,” this is a tobaccofree environment.
      For positions that are available as remote work, Sentara Health employs associates in the following states:
      Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.