Why UnityPoint Health?

• Commitment to our Team –We’ve been named aTop 150 Place to Work in Healthcare 2022 by Becker’s Healthcare for our commitment to our team members.
• Culture – At UnityPoint Health, you Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
• Benefits – Our competitive Total Rewards program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you’re in.
• Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
• Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
• Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.

• Promptly and accurately record all provider information in the system of record
• Responsible for the completion and submission of all payer initial and re-credentialing applications in the required format.
• Monitor status of payer applications to ensure completion.
• Coordinate with IT the creation and maintenance of provider payer panel records (EDI table) in Epic.
• Assist with researching claim issues brought forward from clinic administrators and customer service staff.
• Monitor claim denial reports to further investigate payer panel roster errors
• Responsbile for the initiation and follow through on all aspects of provider credentialing including: initial and recredentialing process for all practitioners including performance of primary source verification in accordance with Medimore, Inc. policies and procedures, hospital medical staf by laws and requirements, NCQA, URAQ, JCAHO, DNV, CMS and other regulatory agency guidelines.

• Responsible for the collection of data to efficiently onboard new providers for payor enrollment.
• Open Morrisey process for new providers within 5 days of receipt of application.
• Complete payer applications for new providers within 30 days of compleate applicaiton.
• Regularly communicate with hospital medical staff offices to coordinate application packets for new providers

• High school diploma or GED Required
• Associates degree or higher preferred.

• Minimum of 2 years of experience in the field of payer credentialing and enrollment, provider billing services, or health clinic customer service positions.
• Knowledge of the managed healthcare industry.
• Proficient in Microsoft Office Suite.
• Knowledge of regulatory agency standards (i.e. NCQA, URAQ, JCAHO, etc)