Insurance Credentialing Provider Enrollment Specialist

Healthcare Revenue Group; Mission (KS); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player in medical billing is seeking a dedicated Insurance Credentialing Provider Enrollment Specialist. This remote position offers the chance to manage enrollments and collaborate with clients in a supportive and inclusive environment. With a focus on professional growth, you'll utilize your organizational and project management skills to ensure efficient credentialing processes. Enjoy competitive wages, a comprehensive benefits package, and the opportunity to make a significant impact within a thriving team. If you're ready to advance your career in medical credentialing, this is the perfect opportunity for you.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Short-term/Long-term Disability

Life Insurance

401(k) with Company Match

3 Weeks PTO

Qualifications

• 3+ years of experience in medical credentialing and provider enrollment.
• Strong project management and organizational skills are essential.

Responsibilities

• Manage enrollments and re-credentialing for diverse clients.
• Communicate effectively with clients and monitor application progress.

Skills

Organization Skills

Project Management

Customer Service

Communication Skills

Self-Motivation

Education

Bachelor's Degree

Associate Degree

Tools

CredentialStream

Google Program Suite

Microsoft Office Suite

Job description

Insurance Credentialing Provider Enrollment Specialist

Are you an experienced Medical Insurance Credentialing and Provider Enrollment Specialist seeking a professional and rewarding opportunity? Join Healthcare Revenue Group (HRG), a thriving medical billing and credentialing company located in Overland Park, KS, as we expand our contracting and credentialing team.

Responsibilities:

• Perform and manage enrollments, re-credentialing, and execute new contract applications with commercial and government health plans on behalf of our diverse client base.
• Monitor application progress and proactively follow up as required to ensure timely completion.
• Possess comprehensive knowledge of managed care company and plan requirements for efficient credentialing of providers.
• Effectively communicate the contracting and enrollment process, addressing client staff inquiries and providing regular status updates to clients and internal stakeholders.
• Perform CAQH maintenance for providers, both new enrollments and ongoing updates.
• Handle clearinghouse set-up and enrollments.
• Maintain and secure insurance website and clearinghouse access credentials.
• Perform systems implementation and workflow design utilizing various software platforms.
• This is a remote (work from home) position. Be self-motivated to accomplish tasks.

Required Qualifications:

• COMPLETED bachelor or associate degree from an accredited institution REQUIRED.
• Demonstrated excellence in organization and follow-up skills.
• Strong project management abilities, capable of handling multiple applications and collaborating with payers to meet enrollment deadlines.
• Self-motivated and able to work independently while diligently monitoring progress.
• Exceptional customer service and communication skills.
• Proven track record of success and accomplishment.
• Profound understanding of managed care companies, plans, and managed care network concepts.
• Minimum of three years' experience in medical credentialing. Experience in Provider Enrollment strongly preferred.
• STRONGLY PREFERRED: Experience utilizing CredentialStream, Google Program Suite, and Microsoft Office Suite. Ability to learn new software quickly and utilize it to streamline processes.

Why Choose HRG:

• Competitive wages: $20-$25/hr commensurate with experience.
• Comprehensive benefits package:
• Health insurance
• Dental insurance
• Vision insurance
• Short-term/long-term disability
• Life insurance
• 401(k) with company match
• 3 weeks PTO
• Opportunity for client support teams to interact with senior company and client management.
• Potential for impactful responsibilities and career advancement.
• Job autonomy with a focus on professional growth.
• Enjoy a collaborative and friendly team environment.
• HRG promotes diversity and inclusivity, offering equal employment opportunities regardless of race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.

If you are seeking a professional and fulfilling career opportunity in medical insurance credentialing, HRG is the place for you! Apply now to become a valuable part of our esteemed team.