Payor Enrollment Specialist Job Listing at MedStar Medical Group in Baltimore, MD (Job ID req30680)

Description

General Summary of Position
The MedStar Corporate Managed Care team is seeking a full time Payor Enrollment Specialist to join our team.  This is a Full-Time, Monday – Friday position, 8:30am - 5:00pm.  The selected candidate will enjoy a hybrid schedule with the opportunity to work from home with infrequent on-site requirements.  Office location is Rosedale, Maryland.

Facilitates the process of governmental enrollment and managed care insurance credentialing/re-credentialing for hospital-employed practitioners with all contracted insurance plans. Also facilitates the credentialing/re-credentialing process for MedStar Health hospital facilities. Oversees internal delegated credentialing audits on behalf of hospital-employed practitioners. Builds and maintains positive relationships with managed care insurance/payors and serves as a central point of contact regarding managed care insurance/payor issues.

Minimum Qualifications

Education

• Bachelor's degree preferred, or equivalent work experience in business, or related health care discipline required

Experience

• 5-7 years Health care experience in managed care and governmental credentialing, payor relations and physician relations including experience working for a managed care insurance plan required
• Experience with practitioner and facility credentialing process, and experience completing managed care and governmental credentialing applications required
• Customer service and managed care contract experience preferred

Licenses and Certifications

• No special certification, registration or licensure required

Knowledge, Skills, and Abilities

• Excellent verbal and written communication skills.
• Strong organizational, interpersonal, and critical thinking skills.
• Ability to work independently with minimum supervision.
• Ability to analyze and evaluate data and other provider-related problems and to develop alternative solutions for a positive outcome.
• Must be able to multi-task and prioritize workload and pay meticulous attention to detail.
• Proficient in Microsoft Office software programs (Word, Excel, and PowerPoint).
• Credentialing software experience required.

Why MedStar Health?
At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:

• Strong emphasis on teamwork - our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
• Strategic focus on equity, inclusion, & diversity - we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
• Comprehensive total rewards package - including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
• More career opportunities closer to home - as the largest healthcare provider in the Baltimore-Washington, D.C. region, there are countless opportunities to grow your career and fulfill your aspirations.

About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.