Credentialing & Billing Specialist - Colorado Medicaid

Denver Recovery Group, LLC; Lakewood (CO); Presencial; USD 50.000 - 60.000; A tiempo parcial

Descripción de la vacante

Denver Recovery Group, LLC seeks a Billing & Credentialing Specialist to manage provider enrollment and credentialing, focusing on Colorado Medicaid requirements. The role ensures timely reimbursement and regulatory compliance.

The ideal candidate has 2–4 years of enrollment or payer credentialing experience, familiarity with HCPF rules, and strong organizational and analytical skills. This is a part-time position with potential to become full-time, based in the Denver area.

Formación

• Associate's degree in Healthcare Administration, Business Administration, Medical Billing, or a related field, or equivalent work experience.
• 2–4 years of experience in provider enrollment or payer credentialing.
• Demonstrated experience working with Colorado Medicaid (HCPF) provider enrollment and billing.

Responsabilidades

• Manage provider enrollments, revalidations, updates, and affiliations through the Colorado interChange Provider Portal.
• Monitor application status and resolve enrollment issues promptly.
• Maintain accurate provider records and ensure timely renewals.

Conocimientos

Provider enrollment

Payer credentialing

Colorado Medicaid (HCPF) experience

EHR systems

Attention to detail

Communication skills

Educación

Associate's degree in Healthcare Administration or related field

Herramientas

CAQH provider data management

Practice management software

EHR systems

Descripción del empleo

Denver Recovery Group, LLC seeks a Billing & Credentialing Specialist to manage provider enrollment and credentialing, focusing on Colorado Medicaid requirements. The role ensures timely reimbursement and regulatory compliance.

The ideal candidate has 2–4 years of enrollment or payer credentialing experience, familiarity with HCPF rules, and strong organizational and analytical skills. This is a part-time position with potential to become full-time, based in the Denver area.