Provider Enrollment and Credentialing Coordinator

Global Technical Talent; Milwaukee (WI); On-site; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a detail-oriented Provider Enrollment Specialist to manage credentialing documents and purchasing activities. This remote role involves ensuring accurate processing of provider agreements, overseeing the Oracle iProcurement System, and facilitating vendor interactions. The ideal candidate will possess credentialing experience and a solid understanding of purchasing processes. Join a diverse and inclusive team dedicated to supporting clients in achieving financial security and health.

Benefits

Medical Insurance

Vision Insurance

Dental Insurance

401k Retirement Fund

Qualifications

• Experience in credentialing, especially in medical fields is advantageous.
• Proficiency in Excel and data entry is required.

Responsibilities

• Maintain accurate records and administer centralized Purchasing standards.
• Develop and oversee Purchasing policies and procedures.
• Lead and manage the RFP process and corporate purchasing staff.

Skills

Credentialing experience

Excel

Data entry

Independent work

Job description

Job Title:

Provider Enrollment Specialist / Provider Enrollment and Credentialing Coordinator

Contract Duration:

3+ Months

Work Type:

Remote (any time zone)

Location:

Milwaukee, WI

Job Description

The Provider Enrollment Specialist's primary responsibilities include receiving provider credentialing documents, pre-screening for completeness, scanning, and re-routing. This role ensures accurate and timely processing of credentialing documents and involves reviewing, scanning, filing, and coordinating the execution of provider agreements. The specialist also enters provider data related to applications, contract information, status changes, and payee changes.

Additionally, the role manages purchasing activities throughout the procurement lifecycle and oversees the Oracle iProcurement System, providing professional assistance to internal customers across multiple locations. The specialist takes independent action to ensure deliveries are met, standards are adhered to, and internal follow-up is achieved. It also involves facilitating requests and interfacing with vendors.

Primary Job Responsibilities:

• Maintain accurate records by administering centralized Purchasing standards, policies, and procedures.
• Develop, implement, and oversee Purchasing policies and procedures.
• Review purchases for compliance and educate end users on policies.
• Work with end users to develop specifications for equipment, services, and supplies.
• Identify and evaluate vendors; develop alternative sources of supply.
• Lead and manage the RFP process and corporate purchasing staff.
• Establish delivery schedules, monitor progress, and resolve issues with clients and suppliers.
• Evaluate and audit contract performance to ensure compliance.
• Manage disputes and track resolution processes.
• Drive purchasing activities, including evaluations, updates, and education sessions.
• Continuously improve purchasing processes.
• Manage corporate programs like travel, credit cards, and office supplies.
• Lead quarterly procurement reporting and support the Executive Sourcing Council.
• Assist with cross-functional initiatives and other duties as assigned.

Requirements:

• Credentialing experience is a plus, in any medical-related field.
• Basic to intermediate knowledge of Excel, PDFs, and data entry.
• Ability to work independently.

Training:

• Training on Credentialing System and processes will be provided, including initial full-day training via video.

Equipment:

• No computer equipment will be provided; candidates will use VDI. Two screens are preferred for efficiency.

Note:

• This is not a Coordinator role.

Benefits:

• Medical, Vision, and Dental Insurance Plans
• 401k Retirement Fund

About the Company:

A leading financial services organization offering insurance, advice, investments, and asset management, committed to helping clients achieve financial security and a healthier life. It has a global presence with thousands of employees and advisors.

About GTT:

GTT is a minority-owned staffing firm and a subsidiary of Chenega Corporation, a Native American-owned company. We value diversity and inclusion, serving Fortune 500 clients across various sectors in the US and Canada. We look forward to helping you land your next career opportunity!