Provider Enrollment Representative -Canonsburg, PA

Location

Canonsburg, PA | United States

Job description

Preferred Primary Care Physicians(PPCP) is currently recruiting for a full-time Provider Enrollment Representative to work out of our Central Administrative office located in Canonsburg, PA. The ideal candidate will have prior credentialing and/or provider enrollment experience. Fantastic Monday-Friday day schedule! Come join the PPCP Team and Family for awesome benefits including a highly competitive starting salary, amazing medical, dental, and vision insurance that is highly affordable, and one of the BEST company-matched 401k company match retirement plan in the medical field!

General Purpose of the Provider Enrollment Representative Position:

This position requires a very detailed oriented candidate to assist in processing applications and perform primary source verification for PPCP applicants. Processes applications and performs primary source verification for reappointment and re-credentialing for practitioners who are members of the facilities and organizations of area hospitals. Maintains a current and accurate database of credentialing information.

Provider Enrollment Representative Essential Functions:

• Completes files efficiently, according to policy, and within the established standards and guidelines.
• Performs data entry and scans accurately and efficiently according to established policies, procedures, and guidelines.
• Assists with database integrity and maintenance.
• Performs primary source verification, records information received, and provides follow-up as necessary according to established policies and procedures.
• Maintains excellent communication (verbal, written, and electronic) with all providers and practitioners.
• Processes applications expeditiously and efficiently according to the established priorities and timeframes.

Education/Qualifications:

• High school diploma or equivalent required.
• Excellent data entry and computer software application skills required and must have a desire to maximize the use of technology to automate processes.
• A detail-oriented person with excellent communication and interpersonal skills required.
• Experience with NCQA standards preferred.

About Us:

At Preferred Primary Care Physicians, preferred health care is simply our standard. Our practice was established in 1995 when a group of dedicated physicians in the South Hills came together for one common purpose: to provide the highest quality care to their patients. Their ingenuity and expertise laid the foundation for our independently owned practice, which now operates out of more than 20 locations in the greater Pittsburgh area. Our elevated level of service is supported by our team-based approach, comprehensive clinical programs, and state-of-the-art outpatient centers. From providing general primary care to managing chronic conditions, we give all of our patients the preferential treatment they deserve.

Come join the team and enjoy a very competitive employee benefit package including medical, dental, vision, company paid life insurance, and 401k with competitive match.

Please visit our website for more info about our company.

EOE

Job tags

Salary