Remote Credentialing & Payor Enrollment Expert

Ensemble RCM LLC; Ohio; Ibrido; USD 27.000 - 32.000; Tempo pieno

Vantaggi offerti da questo lavoro

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Descrizione del lavoro

Ensemble Health Partners seeks a Credentialing & Enrollment Specialist to support provider onboarding, enrollment, and data accuracy across payer portals. This remote position requires attention to detail and collaboration with cross-functional teams to ensure timely credentialing.

You will manage CAQH, PECOS, and credentialing renewals, with opportunities to advance in a growth-focused environment. Travel may be required to client sites.

Competenze

• Experience with provider enrollment and credentialing processes.
• Knowledge of PECOS and state Medicaid portals.
• Experience with insurance enrollments.
• Intermediate proficiency in Excel.
• Strong attention to detail and problem solving.
• Ability to meet deadlines and work independently.

Mansioni

• Update CAQH profiles and attestations to ensure data accuracy.
• Maintain provider records and updates; manage renewals.
• Enter tracking and onboarding tasks; follow up until completion.
• Provide enrollment updates; serve as SME for onboarding.
• Collaborate with revenue cycle departments to improve processes.
• Enter provider applications into payer portals for enrollment.
• Verify data accuracy; respond promptly to payer information requests.
• Maintain confidentiality and comply with regulatory requirements.

Conoscenze

CAQH proficiency

PECOS knowledge

Medicaid portals

Excel proficiency

Insurance enrollments

Attention to detail

Communication skills

Formazione

High School Diploma or GED

Strumenti

Enrollment Software

Payer portals

Databases

Descrizione del lavoro

Ensemble Health Partners seeks a Credentialing & Enrollment Specialist to support provider onboarding, enrollment, and data accuracy across payer portals. This remote position requires attention to detail and collaboration with cross-functional teams to ensure timely credentialing.

You will manage CAQH, PECOS, and credentialing renewals, with opportunities to advance in a growth-focused environment. Travel may be required to client sites.