Healing Partners Careers

Description

As industry-leading wound care providers, Healing Partners propel standard Skilled Nursing Facility wound care to a completely different level. Our multifaceted approach relieves various burdens – clinical, operational, financial, and practical – from busy owners, administrators, and employees, freeing each staff member to focus optimally on his or her responsibilities and improve overall facility management.

BENEFITS OF WORKING WITH HEALING PARTNERS:

• Competitive salary/rate
• Monday-Friday day schedule
• Benefits: Medical, Dental, Vision, eligible on 1^st day of month following start date
• Employee Assistance Program (EAP)
• Health Savings Account (HSA)
• Dependent Care FSA
• 401k, Short Term/Long Term disability and life insurance
• Tuition Reimbursement
• Discount Programs

Payer Enrollment Specialist Job Responsibilities:

The Payer Enrollment Specialist will oversee our provider’s payer enrollment and revalidation process. They will be responsible for their assigned state rosters, and payers per state where our providers see patients. They will report to the Manager, Payer Enrollment.  

• Maintains the credentials of new and existing physician and mid-level providers, their medical licenses, DEA certificates and managed care applications. 
• Responsible for entering in ongoing data and supporting documentation for all providers within the internal credentialing and CAQH databases to ensure all expirable/personal information updates are current and correct. 
• Responsible for all CAQH (re) attestation requests, new location entries, and updating annual professional liability insurance renewals. 
• Acts as liaison between practitioners and payers, identifies delays with payers, escalates and communicates delays or issues timely. 
• Administers payer website access (government, third party insurance, third party websites) for new and existing business office staff. 
• Complete payer enrollments for ERAs and EFT and maintains database of payers enrolled. 
• Works with leadership to apply and maintain “in-network” status with insurance companies for practice(s) and providers, as well as maintains a current provider roster list with in-network providers. 
• Audit our payer rosters and make sure we are revalidating our providers with their payers.  
• Works on both initiating and completing the contract process for new payers to make we are enrolling appropriately. 
• Investigate and work through any credentialing issues as identity by the Revenue Cycle Team. 
• Communicate to all stakeholders about approved enrollments, denied contracts, closed networks, and other items that will help our providers, leadership, Revenue Cycle Team, and others make appropriate business decisions. 
• Assist the Credentialing team on packets or projects as needed. 

Credentialing Specialist Qualifications and Requirements:

• High School Diploma, required, bachelor’s degree preferred 
• A minimum of one year of relevant experience in credentialing, provider enrollment, or related field required. 
• Excellent interpersonal skills 
• Excellent communications skills both verbal and written. 
• Excellent organizational skills and an ability to manage follow-up efforts for multiple tasks. 
• Focused attention to detail to ensure accuracy and timeliness of credentialing information. 
• Ability to work under time constraints to meet deadlines. 
• Proficient use of Microsoft Office applications (Excel, in particular), internet resources and Adobe Acrobat. 
• Complying with HIPAA policies, Healing Partners Policies and federal/state laws  

Physical Requirements:

• Talk, hear, and communicate with people over the telephone;
• Use hands and fingers to operate a computer and telephone;
• View computer screens for extended periods of time;
• Sit at a desk for extended periods of time; and
• Regular, predictable attendance. 

Work Environment:

• The job duties and functions for this position are required to be on-site 2-3 days a week. 

Job Type: Full-time

Salary: $58,000-65,0000

Schedule:

• Day shift
• Monday to Friday
• Weekend and night On-Call

Work Location: Hybrid in Sparks, MD

Healing Partners provides equal employment opportunities to all employees and applicants for employment without regard to race, color, ancestry, national origin, gender, sexual orientation, marital status, religion, age, disability, gender identity, results of genetic testing, or service in the military. Equal employment opportunity applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training.