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Nursing Open House - March 21

Payer Application Specialist

Care New England Health System - CNE Economic Credentialing Job ID: 08755-80779-006

Providence ,RI 
Has Benefits
Job Description
Responsible for obtaining necessary information and documentation to enable the submission of third party payer applications and contracts. Performs the necessary follow-up to confirm physician provider numbers have been assigned by payers and logged into the master insurance payer provided number matrix. Responsible for maintaining physician payer application records and training new staff on payer application process. Maintains good business relationships with payers to facilitate payer application process. The position serves as the coordinator within Women and Infants Hospital for the payer application process for employed physicians and voluntary physicians as requested
Required Education
Associates degree preferred with three to five years of experience in secretarial functions, with at least one year of experience in dealing with physicians, hospitals and managed care organizations, or equivalent combination of education and experience. Must have exceptional interpersonal skills, telephone etiquette, written communication skills. Computer experience with Microsoft office products including Word and Excel are required and experience with Access is preferred. Must have ability to be persistent in application follow-up process, while maintaining good working relationships with customers, clients and co-workers Ability to demonstrate high level of organizational skills, specifically file maintenance and record keeping. Experience in physician payer credentialing, physician practice management and physician billing procedures is preferred.
Salary Range
Application Method
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It is the policy of CNE to provide equal employment opportunities to all qualified employees and applicants for employment without regard to their race, color, religion, gender, sexual orientation, gender identity or expression, age, national origin, genetic information, veterans status or disability.