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Insurance Enrollment/Credentialing Representative

Facility: CHS Services Inc Location: Melville, NY Department: Enrollment Category: Administrative / Business Support Schedule: Full Time Shift: Day shift Hours: 8:30-4:30 ReqNum: 6027003

Catholic Health Services of Long Island (CHS) is an integrated health care delivery system with some of the region's finest health and human services agencies. CHS includes six hospitals, three skilled nursing facilities, a regional home nursing service, hospice and a multiservice, community-based agency for persons with special needs. Under the sponsorship of the Diocese of Rockville Centre, CHS serves hundreds of thousands of Long Islanders each year, providing care that extends from the beginning of life to helping people live their final years in comfort, grace and dignity.

Position Summary:

The Insurance Enrollment/Credentialing representative is responsible to enroll and maintain the provider's participation status with all insurances that the hospital providers participate with.

DUTIES/RESPONSIBILITIES:

  • Enters Provider demographics and scan applicable documents into Cactus system.
  • Review provider information for any discrepancies and ensure that corrections are made in Cactus system
  • Maintaining provider status of the various applications within Cactus.
  • Responsible for obtaining all expiring documents for the employed providers, Groups, and Captive
  • Ability to communicate effectively with others.

POSITION REQUIREMENTS AND QUALIFICATIONS:

Education:

  • High School diploma or equivalent required
  • Medical trade school preferred.

Skills:

  • Ability to communicate effectively with others.
  • Knowledge of the Cactus or Other electronic application/enrollment system
  • Knowledge of CAQH (online provider profile).
  • Understands medical insurance terms and healthcare billing requirements.
  • Must be able to take direction and prioritize responsibilities.
  • Must be computer literate and proficient with Microsoft Word & Excel.
  • Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm.
  • One year of Healthcare experience desired.

At Catholic Health Services of Long Island your well-being comes first, with comprehensive compensation and benefits; our offerings go beyond the basics. In addition to multiple medical plans, life insurance, generous paid time off and flexible spending accounts, we also offer substantial tuition reimbursement, an employer funded pension plan and several savings plan options for your future.

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  • Administrative / Business Support, Melville, New York, United StatesRemove