Job Description

Why MCR Health?

A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time", and to support our Mission to serve everyone . Whether you are providing direct patient care or in other areas of our Company, you can find a home here. We invite you to be part of our Company where you can grow your career and serve with your heart.

In our time of Company growth, we are seeking a Provider Enrollment Specialist.

Work Location: Bradenton, Florida.

As part of this role, you will:

1. · Complete insurance enrollment applications following the organization standards, state & federal regulations, guidelines, procedures & laws required in the credentialing process. Responsible for initial credentialing with insurance companies.
2. · Ensure that the credentialing and re-credentialing process is completed in its entirety promptly by individual providers, as well as by the organization.
3. · Responsible for notifying the appropriate managers of any credentialing issues, status on outstanding applications, changes with contracted insurance companies, and new plans within the company’s service delivery area.
4. · Handle telephone communications to answer credentialing and staff questions regarding provider participation, credentials, documentation, etc.
5. · Obtain signatures in the field as required to complete the credentialing process.
6. · Supports the goals and mission of MCR Health.
7. · Adheres to the safety policy of MCR Health.
8. · Performs other duties as assigned from time to time.

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