Hybrid Provider Enrollment Specialist (Houston)

Addison Group; Houston (TX); Híbrido; USD 29 000 - 34 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

401k

Resumo da oferta

Addison Group is partnering with a large healthcare organization to hire Provider Enrollment Specialists. The role focuses on enrollment, credentialing, and project support, starting with data management and expanding to project coordination. You’ll work closely with payers and internal teams from a provider enrollment perspective.

Hybrid schedule in West Houston, 8-5, with on-site and remote weeks. Prior enrollment experience and knowledge of NPPES/CAQH are essential for success.

Qualificações

• 2+ years of provider enrollment experience.
• Hands-on experience with NPPES and CAQH.
• Experience enrolling providers with Medicare, Medicaid, and commercial payers.
• Knowledge of provider enrollment, credentialing, and recredentialing processes.
• Experience with Epic, Microsoft Access, Excel, or credentialing systems.
• Strong attention to detail and ability to identify enrollment discrepancies.
• Self-starter with strong project management and organizational skills.
• Ability to pivot between priorities and meet deadlines.

Responsabilidades

• Complete provider enrollment and payer application processes.
• Maintain provider information in NPPES and CAQH.
• Enroll providers with Medicare, Medicaid, and commercial payers.
• Review applications for completeness and identify enrollment discrepancies or red flags.
• Track provider enrollment status and follow up on outstanding items.
• Maintain accurate provider data within credentialing and enrollment systems.
• Support new payer and special project initiatives.
• Monitor project progress and ensure deadlines are met.
• Communicate with providers, payers, and internal teams regarding enrollment status.

Conhecimentos

Provider enrollment experience

NPPES & CAQH

Medicare/Medicaid & commercial payer

Project management

Attention to detail

Organizational skills

Prioritization

Ferramentas

Epic

Microsoft Access

Excel

Credentialing systems

Descrição da oferta de emprego

Addison Group is partnering with a large healthcare organization to hire Provider Enrollment Specialists. The role focuses on enrollment, credentialing, and project support, starting with data management and expanding to project coordination. You’ll work closely with payers and internal teams from a provider enrollment perspective.

Hybrid schedule in West Houston, 8-5, with on-site and remote weeks. Prior enrollment experience and knowledge of NPPES/CAQH are essential for success.