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Generates enrollment or affiliation applications to submit per established protocols. Reviews for accuracy all enrollment applications and re-credentialing documents prior to submission. Follows established workflows to ensure that proper enrollments are submitted and that timely follow up is performed. This includes prompt response to follow up requests from payers or facilities. Assists in continuous reevaluation of workflows to ensure efficient processes are being followed. Supports the Manager and Director in the efforts to confirm the credentials and primary data source verifications of physicians and mid-level providers joining Baptist Medical Group. Communicates directly with providers, payers, clinic personnel, Operation Directors and Managers and Executive Directors as needed. Generates reports. Performs data entry. Performs primary data source verification. Performs CAQH attestation. Each function requires the highest level of accuracy and confidentiality. Performs other duties as assignedExperience 2 years focused credentialing experience in a medical billing organization. Education High School/GEDMedical Billing and Coding Diploma from an accredited facility.Training Proficient in Microsoft Office. Ability to type 35 wpm Special Skills Excellent skills in verbal and written communication.Working knowledge of CAQH, AMA, NPDB, and primary data source verification. Specific knowledge of payer enrollment application process.Licensure BOT Position Code #: 5347 Day Shift: Yes Night Shift: No Department Name: MG CBO Credentialing External Company Name: Baptist Memorial Health Care Corporation External Company URL: http://www.baptistonline.org Street: 1717 Massey Ave.
