Insurance Payor Credentialing Enrollment Specialist

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Job Description

CAMcare Health Corporation

Location: Camden, New Jersey
Department: Administration

Position Description

Who we are: CAMcare Health is made of a diverse and innovative team motivated to provide the best possible healthcare to communities in Camden and the surrounding communities. We live our values by providing primary health care to everyone regardless of their ability to pay at seven sites throughout Camden and Gloucester counties. Focused on leveling up patient care, incorporating technology, creative problem solving, and innovating healthcare every day.

How you can make an impact: The Insurance Payor Credentialing Enrollment Specialist will be responsible for managing the provider credentialing and enrollment processes across various payor sources, including CAQH, PECOS, NJ Medicaid, and Managed Care Organizations (MCOs). This position requires a thorough understanding of healthcare provider enrollment procedures and the ability to meet key performance indicators (KPIs) related to credentialing and enrollment timelines, accuracy, and compliance. The Insurance Payor Credentialing Enrollment Specialist will report to the HR Director and work closely with the Billing Department.

Education & Experience Requirements:

Education:

High school diploma or equivalent; Associate’s degree in Health Administration, Business, or a related field is preferred.

Experience:

Minimum of 2-3 years of experience in healthcare provider credentialing, enrollment, or insurance contracting, preferably in a Federally Qualified Health Center (FQHC).

Work Schedule:

Weekdays (8-5)

Compensation Range:

$50,000 – $100,000

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