Under minimal supervision coordinates, verifies, and monitors the Provider Enrollment process for Medicare, Medicaid, and the provider credentialing for other payor applications. Ensures compliance with regulatory agencies and maintains a working knowledge of statues and laws that affect the enrollment process. Provides required monthly or quarterly reports to third party payors and internal Denver Health staff. Assists practitioners in completing necessary enrollment credentialing applications for accuracy and completeness
Knowledge, Skills & Abilities
Knowledge of TJC, NCQA and CMS credentialing standards preferred.Must be able to work independently and meet schedules and deadlines.Ability to handle multiple tasks, simultaneously. Ability to communicate in a professional and positive manner. Ability to compile and analyze data for various types of reports.
High school diploma or GED required
Two years' experience in credentialing or performing relevant functions in an enrollment setting or related healthcare setting required.
CPCS or CPMSM certification preferred.
All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, efficient, high-quality academic health care system that is considered a model for the nation. The Denver Health system includes the Rocky Mountain Regional Level I Trauma Center, a 525-bed acute care medical center, Denver's 911 emergency medical response system, 8 family health centers, 15 school-based health centers, the Rocky Mountain Poison and Drug Center, the Denver Public Health Department, an HMO, and The Denver Health Foundation.
As Colorado's primary safety net institution, Denver Health is a mission-driven organization that has provided more than $3.3 billion in care for the uninsured in the last ten years. Denver Health is a leader in performance and quality improvements and remains financially secure, in part, due to its nationally recognized implementation of lean principles in healthcare. Denver Health is a major resource to the community, serving approximately 185,000 individuals and 67,000 children a year.
Located just south of downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).
"Denver Health is committed to provide equal treatment and equal employment opportunities to all applicants and employees. Denver Health is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class."
Internal Number: 661
About Denver Health
Take your career to the next level at Denver Health, where we offer a robust benefits package and endless opportunities for growth. Denver Health is a nationally-ranked, locally-trusted, premier healthcare institution located in the heart of Denver, Colorado.Twenty-five percent of all Denver residents, or approximately 150,000 individuals, receive their health care here. We are known as an integrated health care system that encompasses multidisciplinary academic specialties, a community health system, a level I adult trauma center, pediatric emergency and urgent care center home to Denver Public Health and many of the nation’s leaders in medicine.