Remote Provider Enrollment Coordinator

Talentify.io; United States; Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated Credentialing Specialist to join their team. This role offers a unique opportunity to make a significant impact on the lives of individuals battling opioid use disorder. You will be responsible for managing provider credentialing, collaborating with recruiting teams, and ensuring compliance with necessary regulations. The company provides excellent training for newcomers, a comprehensive benefits package, and a supportive work environment. If you are looking to advance your career in a meaningful way while working in a dynamic field, this position is perfect for you.

Benefits

Comprehensive Benefits Package

Mileage Reimbursement

401K Options with Matching

Paid Maternity/Paternity Leave

Mental Health Days

Qualifications

• Minimum of 2 years of experience in physician credentialing and enrollment.
• Proficiency with credentialing databases and knowledge of revenue cycle.

Responsibilities

• Manage notifications from the Clinician Onboarding Liaison.
• Collaborate with the recruiting team for onboarding new providers.
• Maintain provider credentialing documents and ensure compliance.

Skills

Physician Credentialing

Provider Enrollment

Communication Skills

Organizational Skills

Knowledge of Medicaid and Medicare

Education

Healthcare Credentialing Certifications

Tools

Modio Software

CAQH

NPPES

PECOS

Job description

Employer Industry: Healthcare - Substance Abuse Treatment

Why consider this job opportunity:
- Opportunity to make a daily impact on the lives of individuals battling opioid use disorder
- Excellent training provided for newcomers to the field
- Mileage reimbursement at the current IRS rate, if applicable
- Comprehensive benefits package, including Medical, Dental, and Vision Insurance
- Variety of 401K options with a matching program and no vesting period
- Paid maternity/paternity leave and mental health days

What to Expect (Job Responsibilities):
- Receive and manage notifications from the Clinician Onboarding Liaison (COL)
- Collaborate with the recruiting team during the onboarding of new providers and provide weekly credentialing updates
- Obtain and maintain provider credentialing documents, ensuring accuracy and compliance
- Conduct payer research and manage applications for providers, including addressing issues with payors
- Serve as the primary point of contact for provider employment updates and withdrawal notifications

What is Required (Qualifications):
- Minimum of 2 years of successful experience in physician credentialing and/or physician enrollment
- Proficiency with provider credentialing databases/websites/portals such as CAQH, NPPES, and PECOS
- Familiarity with Modio software is preferred
- Working knowledge of the revenue cycle process
- Availability for potential overtime as required by management

How to Stand Out (Preferred Qualifications):
- Experience with Modio software
- Additional certifications related to healthcare credentialing
- Knowledge of state-specific requirements for provider enrollment
- Strong communication and organizational skills
- Experience working with Medicaid, Medicare, and commercial insurance plans

#Healthcare #Credentialing #SubstanceAbuseTreatment #CareerOpportunity #ImpactfulWork

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