Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

Pay Range:

$18.57 - $26.98

Scheduled Weekly Hours:

40

Position Overview

Obtains licenses, certificates, and other necessary paperwork from providers whose professional component billing is done by the central billing office.Completes provider enrollment applications for all payers and attaches provider to group billing numbers for reimbursement to CH. Assists provider in completing applications to payers in a timely manner for billing and reimbursement to CH.Maintains current files of all provider information for the credentialing or re-credentialing process. Manages and maintains files of credentials in an effort to provide current documentation to third party payers to prevent uninterrupted cash flow to CH.Follows up with third party payers to facilitate insurance enrollment.Meets with newly hired or contracted providers in order to facilitate insurance enrollment process that billing office supports. Interacts with insurance representatives to facilitate and expedite the insurance enrollment process.Communicates enrollment process with providers, billing manager, and designated personnel of the organization.Assures insurance provider numbers are communicated to supervisors and managers for entry in IDX billing system.Completes timely follow-up of any CH provider enrollment issues based on spreadsheet timeline.Maintains departmental logs and spreadsheets for updating all insurance credentialing and re-credentialing.

MINIMUM REQUIREMENTSEducation: High school diploma or equivalency.Experience: Previous credentialing knowledge while working in a physician office, hospital, or healthcare environment. Previous provider credentialing experience in a medical environment preferred. Medical billing experience preferred.Usual Work Day: 8 Hours

PHYSICAL DEMANDS AND WORK ENVIRONMENTFrequent physical demands include: Sitting , Standing , Walking , Keyboard use/repetitive motionOccasional physical demands include: Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activitiesContinuous physical demands include: Talk or HearLifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal HearingAnticipated Occupational Exposure Risks Include the following: N/A

This position is eligible for the following benefits:

Medical Plan

Prescription drug coverage & In-House Employee Pharmacy

Dental Plan

Vision Plan

Flexible Spending Account (FSA)

- Healthcare FSA

- Dependent Care FSA

Retirement Savings and Investment Plan

Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance

Supplemental Group Term Life & Accidental Death & Dismemberment Insurance

Disability Benefits – Long Term Disability (LTD)

Disability Benefits – Short Term Disability (STD)

Employee Assistance Program

Commuter Transit

Commuter Parking

Supplemental Life Insurance

- Voluntary Life Spouse

- Voluntary Life Employee

- Voluntary Life Child

Voluntary Legal Services

Voluntary Accident, Critical Illness and Hospital Indemnity Insurance

Voluntary Identity Theft Insurance

Voluntary Pet Insurance

Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. 

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.