ABOUT OUR COMPANY:

From our beginnings in 2001, IN Compass Health was one of the first hospitalist providers in the nation. Since inception, we have recruited over 1000 providers and implemented more than 65 programs across the country, serving hundreds of patients each day.

Our founder has extensive experience in hospital-based medicine and managing physician-driven medical care in complex settings. His experience, supported with his executive leaders, offers a blending of talent few firms can match. IN Compass Health has worked for more than 20 years with hospitals, physicians, and payers to design and implement effective, on-site inpatient care teams and programs.

Built on this solid foundation, IN Compass Health works with hospitals and medical staffs to develop and manage successful hospitalist programs. Serving a national client base, the company is headquartered in metro Atlanta.

IN Compass Health is an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.”'

POSITION SUMMARY:

The Credentialing and Payor Enrollment Administrator supports the Credentialing and Payor Contracting department through the onboarding and enrollment process for physicians and advance practice practitioners (APP). This position is responsible for provider outreach, maintenance of credentialing and enrollment system data, and providing enrollment data to those responsible for practice billing as well as management of provider “expirables” such as licenses and DEA registrations.

QUALIFICATIONS

Education/Experience/Skills

• 3+ years hands-on work in managed care credentialing and enrollment.
• Proficiency in Microsoft Office and Teams.
• Knowledge of HIPAA requirements.
• Familiarity with Council for Affordable Quality Healthcare, Inc. (CAQH).
• Undergraduate degree preferred.

Characteristics

• Motivated, self-starter who is able to work independently with minimal supervision.
• Team player who embraces organizational change and a fast-paced environment.
• Proficient in multiple project management.
• Highly organized and detail-driven.
• Excellent professional verbal and written communication skills.
• Comfortable interacting with individuals at all levels – including providers.
• Discreet manner with an ability to handle sensitive issues.

RESPONSIBILITIES

• Participates in the provider onboarding process supporting credentialing as needed.
• Enters and maintains accurate and complete information in company’s provider credentialing and enrollment system including demographic data, provider payor effective dates, and identification numbers.
• Provides outreach and follow up to providers for payor enrollment signatures.
• Educates providers on creation and maintenance of CAQH profile.
• Maintains organization of CAQH files.
• Manages credentialing expirable documents – DEA, License, COIs, Board Certifications, etc.
• Creates reports in provider credentialing and enrollment systems as requested.
• Maintains rosters for each payor for each facility and reconciles with payor at least annually, providing general updates according to a pre-determined schedule.
• Assists with research and resolution of provider related enrollment issues and coordinates with colleagues when necessary, referring identified issues or trends to the management team as appropriate.
• Provide enrollment information to billing vendors as necessary, updating Athena billing system to add providers as appropriate.
• Responds to internal and external inquiries on routine enrollment and credentialing matters.
• Maintains compliance with company policies, procedures, and mission statement.
• Adheres to all confidentiality and HIPAA requirements.
• Participates in other projects as assigned.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

COVID-19 considerations:
All employees must have received the COVID 19 vaccination before coming into the office.

Ability to commute/relocate:

• Alpharetta, GA 30004: Reliably commute or planning to relocate before starting work (Required)

Experience:

• credentialing: 2 years (Required)

Work Location: One location

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