CORP H&W/PROVIDER ENROLLMENT SPECIALIST at The Kroger Co. in Cincinnati, Ohio

Posted in General Business 29 days ago.

Type: Full-Time





Job Description:

The Provider Enrollment and Credentialing Specialist is responsible for obtaining all provider required credentialing information from the newly hired Nurse Practitioners & Physician Assistants. Responsible for submitting this information to the required organizations for credentialing with governmental agencies & private payers as well as tracking and facilitating this process.From one tiny Cincinnati grocery store more than a century ago, we've grown into what today is the nation's largest grocer with nearly 2,800 stores in 35 states operating under 28 different names. As America's grocer, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit. With a history of innovation, we work tirelessly to create amazing experiences for our customers, communities AND each other, with food at the heart of it all.

Here, people matter. That's why we strive to provide the ingredients you need to create your own recipe for success at work and in life. We help feed your future by providing the value and care you need to grow. If you're caring, purpose-driven and hungry to learn, your potential is unlimited.

Whether you're seeking a part-time position or a new career path, we've got a fresh opportunity for you. Apply today to become part of our Kroger family!

  • One year of direct experience completing Medicare 855I, 855R, and 855B applications, & other payer applications, is required. Experience setting up new Groups from the onset & experience in a hospital credentialing or provider enrollment department, is desirable.
  • Payer credentialing process knowledge at a high level is required and prior experience with CLIA applications.
  • CPCS (Certified Provider Credentialing Specialist) preferred.
  • Must be familiar with national data base for credentialing and an understanding of the business model impact on enrollment in various states is desirable.
  • Strong computer skills with intermediate knowledge of Word, Excel, Access and Power Point and internet experience.
  • Excellent telephone skills, customer service skills, strong organizational skills needed with attention to detail and be accustomed to follow up on work pending.
  • Team orientation & flexibility in accepting change.
  • Professional appearance and demeanor.
  • Obtain & submit the required information to enroll & accelerate credentialing of healthcare providers.
  • Responsible for completing Medicare application for 855I, 855R and 855B and other payer applications.
  • Responsible for setting up new Groups from the onset.
  • Maintain information on an annual basis for RN, ARNP or PA licenses, national certification, collaborative agreements, provider numbers, CPR certification, PPD annual tests and other clinical related requirements.
  • Track credentialing status with each carrier to assist with staffing needs.
  • Maintains database for all in-house training sessions and provides required information to Human Resources.
  • Establish & maintain a strong working relationship with NPs, private insurers, nursing & medical boards.
  • Track the status of provider credentialing on a continuous basis, providing additional information & innovative solutions.
  • Performs other duties as assigned.




  • More jobs in Cincinnati, Ohio

    Other
    about 3 hours ago

    Tyson Foods, Inc.
    Other
    about 3 hours ago

    Tyson Foods, Inc.
    Other
    about 3 hours ago

    Tyson Foods, Inc.
    More jobs in General Business

    General Business
    4 minutes ago

    Hilton Global
    General Business
    7 minutes ago

    Kroger
    General Business
    7 minutes ago

    The Little Clinic