The Provider Enrollment Specialist directly impacts the financial stability of the Company by representing CHRISTUS in the provider number approval process. The Provider Enrollment Specialist, using his/her knowledge of CHRISTUS Provider Group policies in conjunction with payor credentialing and enrollment requirements, facilitates provider enrollment and billing privileges. This position is responsible the coordination of payor enrollment and credentialing activities among various parties, including the Provider, Regional Operations staff, Payor and Internal Billing Representatives.
High school diploma or equivalent.
Previous Provider Enrollment, Credentialing and/or Medical Account Receivable experience preferred.
Knowledge of Medicare, Medicaid and other managed care plan enrollment processes.
Overall working knowledge of software programs with a drive to incorporate technology in all operational functions.
Manage multiple priorities and possess strong organizational skills.
Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.