Job Information
Granville Health System Credentialing and Enrollment Specialist in Oxford, North Carolina
MINIMUM QUALIFICATIONS:# # Must have completed advanced business school/community college courses or study.# 3-5#years of healthcare experience required.##Working knowledge of third party payer credentialing/ re-credentialing, enrollment and contracting preferred.# Possesses strong organizational and time management skills with attention to detail. Proficient computer skills with experience in Microsoft Excel or Access.# Ability to understand and interpret instructions relating to 3rd party payer requirements and scope of work from each payer. # # POSITION SUMMARY: # Work encompasses a variety of administrative functions including but not limited to: ######### Responsible for timely and accurately submission of Third Party Payer Credentialing packets, enrollment applications and contractual requirements per payer. ######### Maintains accurate and up-to-date credentialing matrix defining schedule and status of all applications. ######### Maintains various matrix as defined by the Revenue Cycle Director ######### Reviews death notices and files appropriate paperwork to protect the Hospital at time of settlement of Estate ######### Responsible for the timely and accurate adjustments of all accounts that we have received bankruptcy discharge notices ######### Processes all bankruptcy filing notices according to the Hospital policy and procedure ######### Maintains various matrix as defined by Revenue Cycle Director ######### Co-ordinates 3rd party payer audits with support of# the Revenue Cycle Director ######### Provides administrative support to the EMS billing and collection company ######### Maintains the RAC software for all audited accounts ######### Submits registrations for all DDE users ######### Calculates the Case Mix index monthly and submits reports ######### Maintains confidentiality of position information ######### Maintains confidentiality of position information # # ACCOUNTABLE TO:# Director, Revenue Cycle