Provider Enrollment/Credentialing Specialist

What You Will Do 

• Complete enrollment/credentialing and re-credentialing applications 

• Maintain a detailed log of all pending and completed work   

• Communicate the results and status of the applications to physicians, payers, managers, and co-workers. 

• Maintenance of physician enrollment and CAQH profiles 

• Documentation within enrollment database 

• Coordinate signatures 

• Payer processing and research 

• Involves extensive phone work and internet. 

• Research and resolve claim issues related to physician enrollment. 

• Other tasks as needed. 

 

What it takes to join the family 

• Experience in the medical billing field and/or healthcare provider relations 

• Prior Enrollment or Credentialing experience is preferred. 

• College degree or degree in process preferred.  

• Proven customer service, client relations, and claims resolutions experience  

• Professional demeanor with a self-starter attitude 

• Ability to work independently as well as in a team environment. 

• Proficiency in Microsoft Office Suite 

• Strong written and verbal communication skills with customer service focused aptitude 

• Detail-oriented individuals who are team players and highly self-motivated. 

• Ability to multitask in fast paced environments. 

• Strong reporting expertise with ability to provide status report and escalation where necessary. 

• Sharing our core belief system of Honesty, Candor and Trust is table stakes for joining the family. 

• Ability to function well in a fast-paced and at times stressful environment.  

• Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.  

Why Assembly?  

• Be part of something special! We are growing both organically and through acquisitions. 

• Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way! 

• Ongoing training and development programs 

• An environment that values transparency  

• Virtual and in-person events to connect with your team. 

• Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office. 

 

Assembly Health, headquartered in Chicago, IL, is a healthcare management services organization (“MSO”) that provides clinical services and business solutions to long-term care facilities and physician practices throughout the country. We currently serve over 4,000 facilities and 200 physician practices in more than 40 states.  Our services include onsite podiatric care, revenue cycle management, marketing, logistics, staffing, and compliance that help long term care communities and physician practices perform at their best. We believe that if communities and providers can function at the highest level, care for people will only get better. Assembly Health is an equal employment opportunity employer. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, age, disability, marital status, or pregnancy.  

 

Note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.