Provider Enrollment & Credentialing Specialist

Intermountain Healthcare Inc.; United States; On-site; USD 31,000 - 47,000; Full time

Job summary

Intermountain Health in Utah seeks an Enrollment Specialist to coordinate full-cycle provider enrollment across commercial and government payers. You will manage enrollment, re-enrollment, and expirables, ensuring timely data entry and updates in the payer system.

You will collaborate with AR, Coding, and Recruitment to address denial trends and support market enrollment for Medicare, Medicaid, and local payers. Strong organization and communication are essential.

Qualifications

• High School Diploma or Equivalent
• One year experience in a healthcare revenue cycle setting.

Responsibilities

• Ensures enrollment is completed timely and accurately.
• Coordinates all aspects of provider enrollment with Intermountain Health’s commercial and government (Medicare and Medicaid) professional fee payer contracts for an entire market.
• Works in all phases of provider enrollment, re-enrollment and expirables management ensuring the timely and accurate enrollment (and recredentialing) of providers in commercial and government payers.
• Accurate data entry of up to date expirables, practice/billing locations and other pertinent information to the payer enrollment database.
• Participate in review, completion and/or submission of provider enrollment initial and re-enrollment applications for local and national commercial, Medicare, and Medicaid payers via payer online portals or other methods as applicable.
• Follow up with payers via phone, website, or email requesting network participation and follow up on submitted applications.
• Assist providers, and client personnel with completion of the application, routinely follow up with insurance carriers to monitor the status of applications and resolve issues.
• Facilitate completion, set-up and/or re-attestations of CAQH applications.
• Submits provider change and termination requests to all health plans in a timely manner.

Skills

Computer literacy

Microsoft Office

Communication (oral and written)

Organizational Skills

Attention to Detail

Accountability/ability to work indep.

Customer Service

Knowledge of medical billing and coln.

Medical terminology

Education

High School Diploma or Equivalent

Job description

Intermountain Health in Utah seeks an Enrollment Specialist to coordinate full-cycle provider enrollment across commercial and government payers. You will manage enrollment, re-enrollment, and expirables, ensuring timely data entry and updates in the payer system.

You will collaborate with AR, Coding, and Recruitment to address denial trends and support market enrollment for Medicare, Medicaid, and local payers. Strong organization and communication are essential.