Medloop, a large multi-specialty medical billing company servicing many clients across the US mostly in NY/NJ is looking for a talented and highly motivated Provider Enrollment Specialist to:

• Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications
• Maintain internal provider grid to ensure all information is accurate and logins are available
• Update each provider’s CAQH database file timely according to the schedule published by CMS
• Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance
• Complete revalidation requests issued by government payers
• Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid
• Complete re-credentialing applications for commercial payers
• Credential new providers and re-credential current providers with hospitals at which they hold staff privileges
• Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing
• Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases
• Other duties as assigned

KNOWLEDGE, SKILLS, AND ABILITIES

• Knowledge of provider credentialing and its direct impact on the practice’s revenue cycle
• Knowledge of medical terminology
• Excellent computer skills including Excel, Word, and Internet use
• Excellent customer service skills; communicates clearly and effectively
• Detail oriented with above average organizational skills
• Plans and prioritizes to meet deadlines

REQUIRED MINIMUM QUALIFICATIONS:

• High school diploma, or equivalent

• 3-5 years of provider experience

At Medloop we offer great opportunities with the potential for growth.

• Health Insurance
• 401K
• Great PTO Package

Job Type: Full-time

Pay: $22-$26 per hour