Payor Enrollment Specialist

• Job Posting We are dedicated to providing exceptional care to every patient, every time.
• St.
• Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care.
• Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve.
• Committed to values of human dignity, compassion, justice, excellence, and stewardship St.
• Luke’s Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades.

Position Summary

Perform the enrollment process for new employed physicians, nurse practitioners and physician assistants (providers) Assist with re-credentialing for all established employed providers-both medical group and hospital based (Approx 400) with various managed care plans and government programs. Coordinate completion of enrollment forms, accessing and update CAQH database, and working with physicians to complete the enrollment/participation process with the various payers and plans. Assist with physician mailings, maintains open lines of communications with Health Plans and familiarity with governmental and managed care plan credentialing processes. Superior communication and follow up skills required. Education, Experience, & Licensing Requirements: Education: High School Diploma or equivalent Experience: 2 years of healthcare credentialing and payor experience Benefits for a Better You: Day one benefits package Pension Plan & 401K Competitive compensation FSA & HSA options PTO programs available Education Assistance Why You Belong Here: You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke’s family to be a part of making life better for our patients, their families, and one another.