Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Prepare initial and recredentialing plan applications for non-delegated providers. Follow up and Track applications submitted to payers using credentialing software. Connect with payers regarding status of applications, correcting issues and resubmitting timely as needed. Process changes and terminations of providers timely. Investigate provider claim holds and release claims once confirmation of payer setup is complete. Maintain the integrity of physician and practice information as well as outside databases (CAQH, Availity, etc.)Completion of other projects as assigned to support the department. Competencies (Knowledge, Skills, and Abilities Required):Knowledge of criteria for health plans payer enrollment. Experience with CMS/ PECOS provider enrollment. Ability to multi-task. Strong organizational skills with keen attention to detail. Ability to work in a fast paced and high-profile environment meeting tight deadlines. Ability to interact effectively with a variety of people (such as physicians and medical staff offices). Strong written and verbal communication skills. Excellent PC skills with experience using Microsoft Office Package. Minimum Education and Experience Requirements:Education:High School Diploma. AND - Experience:Preferred experience working in a managed care or medical setting. RCM experience a plus. Additional Information. Experience with Microsoft Office Suite-Teams, Word, Excel, Outlook-intermediate user. Comfortable with heavy workload and multiple conflicting priorities. Organized and detail-oriented. Work Shift. Workday Day (United States of America)Worker Sub Type. Regular. Employee Entity. Thomas Jefferson University. Primary Location Address 1101 Market, Philadelphia, Pennsylvania, United States of America.