Credentialing Specialist, Business Office
Full Time, 80 Hours Per Pay Period, Day Shift
Covenant Health Overview:
Covenant Health is East Tennessee’s top-performing healthcare network with 10 hospitals and over 85 outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned, not-for-profit healthcare system and the area’s largest employer with over 11,000 employees.
Covenant Health is the only healthcare system in East Tennessee to be named six times by Forbes as a Best Employer
Position Summary:
This position is responsible for prioritizing and managing tasks in the Knoxville Business Office Services (KBOS), Billing Department regarding Out of State Medicaid Payer Enrollment, Hospital and Physician credentialing. With limited supervision, the Credentialing Specialist acts as a liaison among outside vendors, Physician Groups, and Vendors. The specialist may do any of the following: Process payer enrollment, facility credentialing, physician enrollment, expirables, hospital credentialing / re-credentialing applications for KBOS providers, maintains credentialing database. Enrolls new Facility and Physician Providers with Out of State Medicaid Payers: sends out and processes initial hospital applications; performs verification of payer enrollment and reappointment applications by preparing requests for information; tracks responses and follow up on requested information.
Recruiter: Suzie McGuinn || apply@covhlth.com
Minimum Education:
Any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to an Associate degree.
Minimum Experience:
3 or more years of experience in Payer enrollment, hospital, or physician credentialing; knowledgeable with Joint Commission and credentialing standards; preferred; good organizational, data entry, and communication skills.
Licensure Requirement:
None.
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