Job Description
TriumpHealth is a third-party medical company who helps medical practices and hospitals achieve their financial goals. We are seeking a Provider Credentialing Specialist to join our team in our Southlake location.
Job Responsibilities
Provider Credentialing Specialist will have the following job responsibilities:
- Maintain credentialing database and ensure up to date tracking of application process
- Track and follow up with providers for timely return of all required documents and applications
- Prepare, review and submit government, commercial and private payer applications online and manually
- Ensure that workflow items are completed with the set turnaround time, while meeting quality expectations
- Facilitate commercial and governmental payer credentialing and enrollment for multiple specialty providers and facility types
- Work with MD’s, DO’s, Dentists, PT’s, NP’s, PA’s, Lab’s and DME’s for their credentialing
- Perform other duties as assigned
Job Requirements
- Minimum of three (3) years’ experience working in the provider credentialing
- Knowledge of government, private and commercial payer credentialing guidelines required
- Knowledge of CAQH applications with ability to prepare for newly affiliated and existing healthcare providers
- Knowledge of correct requirements for 837, 835 and ANSI file formats
- Extremely proficient in Microsoft Excel and database management
- Detail-oriented with the ability to handle and prioritize multiple tasks
- Excellent oral and written communication skills
- Have a positive attitude