Remote Provider Credentialing & Enrollment Specialist

Catalyst Consulting - The Business of Medicine

Austin (TX)

Remote

USD 52,000 - 76,000

Full time

33 hours ago
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Benefits offered by this job

Remote work
Flexible hours

Job summary

Catalyst Consulting - The Business of Medicine is seeking a Provider Enrollment Specialist to manage credentialing and enrollment across payers. The role emphasizes strong organization, attention to detail, and collaboration with payers and providers.

The position offers remote work options and flexible hours, with a culture of support and growth within a national practice consulting firm with 26+ years of experience.

Qualifications

  • Minimum of two years of experience in healthcare credentialing and provider enrollment.
  • Knowledge of Medicare, Medicaid, and commercial payer enrollment processes.
  • Familiarity with credentialing software (e.g., CAQH, PECOS, or payer-specific portals).
  • Exceptional attention to detail and organizational skills.
  • Strong communication skills, both written and verbal.
  • Ability to multitask and meet deadlines.

Responsibilities

  • Credentialing management for providers with commercial and government payers.
  • Maintain provider information in credentialing databases and systems.
  • Track application statuses and follow up with payers to ensure timely approval.
  • Manage enrollment processes for new providers and facilities with Medicare, Medicaid, and private insurance plans.
  • Coordinate updates to provider rosters, including changes in practice locations, group affiliations, and tax IDs.
  • Serve as a liaison between providers and payers to resolve credentialing and enrollment issues.
  • Maintain accurate and organized files for all credentialing and enrollment activities.
  • Regularly update databases with provider information and application statuses.

Skills

Credentialing knowledge
Payer enrollment processes
Attention to detail
Communication skills

Tools

CAQH
PECOS

Job description

Catalyst Consulting - The Business of Medicine is seeking a Provider Enrollment Specialist to manage credentialing and enrollment across payers. The role emphasizes strong organization, attention to detail, and collaboration with payers and providers.

The position offers remote work options and flexible hours, with a culture of support and growth within a national practice consulting firm with 26+ years of experience.

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