Remote Provider Enrollment Coordinator

Talentify.io; United States; Remote; USD 45,000 - 75,000; Full time

Job summary

Join a forward-thinking organization in the healthcare sector, where you can make a real difference in the lives of individuals battling opioid use disorder. This role offers the chance to contribute to vital treatment processes while enjoying comprehensive training and a supportive work environment. You will be responsible for coordinating the onboarding of new providers, managing credentialing processes, and collaborating with stakeholders to ensure smooth operations. With a generous benefits package, including medical, dental, and vision insurance, as well as a robust PTO policy, this position is perfect for someone looking to grow in a rewarding field while making a significant impact.

Benefits

Mileage Reimbursement

Medical Insurance

Dental Insurance

Vision Insurance

Generous PTO

401K Matching Program

Annual Continuing Education Allowance

Qualifications

• 2+ years of experience in physician credentialing or enrollment.
• Proficient with credentialing databases and revenue cycle processes.

Responsibilities

• Coordinate onboarding and credentialing updates for new providers.
• Maintain credentialing documents and conduct payer research.

Skills

Physician Credentialing

Provider Enrollment

Organizational Skills

Attention to Detail

Collaboration

Tools

Modio Software

CAQH

NPPES

PECOS

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity to save lives every day by contributing to the treatment of opioid use disorder
- Excellent training available for newcomers to the field
- Mileage reimbursement at the current IRS rate (if applicable)
- Comprehensive benefits package including Medical, Dental, and Vision Insurance
- Generous PTO and a variety of 401K options, including a matching program with no vesting period
- Annual Continuing Education Allowance in a related field

What to Expect (Job Responsibilities):
- Coordinate with the recruiting team during the onboarding process of new providers and provide weekly credentialing updates
- Obtain and maintain credentialing documents for new and existing providers, ensuring timely submission
- Conduct payer research on providers and generate applications for credentialing
- Serve as the primary point of contact for provider employment updates and credentialing issues
- Collaborate with key stakeholders to manage enrollment processes and address any challenges faced in new markets

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

How to Stand Out (Preferred Qualifications):
- Experience in healthcare-related environments or with managed care plans
- Familiarity with credentialing processes specific to Medicaid and Medicare
- Strong organizational skills and attention to detail
- Ability to work collaboratively with various stakeholders
- Previous experience with claims issues and resolution processes

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