Remote Provider Enrollment Coordinator

Crossroads Treatment Centers; Washington (NC); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a Remote Provider Enrollment Coordinator to join their dedicated team. This role involves managing provider credentialing processes, ensuring timely enrollment, and collaborating closely with various stakeholders. You'll be at the forefront of improving access to treatment, making a meaningful impact on lives daily. With excellent training and a supportive environment, this position offers the chance to contribute to a vital mission while enjoying comprehensive benefits, including medical, dental, and vision insurance, PTO, and a 401K plan with matching options. If you're passionate about healthcare and want to make a difference, this opportunity is for you.

Benefits

Mileage Reimbursement

401K options with match

Annual Continuing Education Allowance

Paid Maternity/Paternity Leave

Mental Health Day

Calm Subscription for Employees

Qualifications

• Minimum of 2 years of experience in physician credentialing and/or enrollment.
• Experience with credentialing databases/websites/portals (CAQH, NPPES, PECOS).

Responsibilities

• Tracks and prepares applications for providers, maintaining credentialing documents.
• Escalates credentialing issues to the Director and communicates updates to providers.

Skills

Physician Credentialing

Enrollment Processes

Payer Research

Communication Skills

Problem Solving

Education

2+ years in Credentialing

Experience with CAQH, NPPES, PECOS

Knowledge of Revenue Cycle Processes

Tools

Modio Software

Credentialing Databases

Job description

Remote Provider Enrollment Coordinator page is loaded

Remote Provider Enrollment Coordinator

Apply remote type: Remote locations: Greenville, SC; Raleigh, NC; Washington, DC; Charlotte, NC; Pittsburgh, PA
Time type: Full time
Posted on: Posted 3 Days Ago
Job requisition ID: R-103555

Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. We provide accessible, high-quality, evidence-based medication assisted treatment (MAT) to combat the opioid epidemic and support recovery. Our outpatient clinics are located across several states, serving over 26,500 patients. We are dedicated to improving access to treatment and fostering an inclusive environment.

Day in the Life of an Enrollment Coordinator

• Receives notifications from the Clinician Onboarding Liaison (COL).
• Works closely with the recruiting team during provider onboarding, providing weekly credentialing updates with payors.
• Obtains and maintains provider credentialing documents, including expiring ones.
• Provides timely information on providers for Credentialing Committee review and approval.
• Escalates credentialing and payor issues to the Director as needed.
• Tracks, generates, and prepares applications for providers.
• Conducts payer research on providers.
• Adds providers to the credentialing report.
• Reviews returned packets for accuracy and communicates updates to providers.
• Reviews weekly exception reports to prioritize issues.
• Follows up with providers for unreturned paperwork.
• Sends updated credentials to payers and completes credentialing applications for new facilities.
• Researches state requirements and creates SOPs accordingly.
• Works with stakeholders on new facility enrollments and keeps them informed of challenges.
• Handles provider withdrawal notifications and updates.
• Generates payer paperwork for re-credentialing.
• Partners with COL, credentialing coordinators, and other stakeholders for onboarding providers and facilities with various payors.
• Maintains provider enrollment processes and credentialing databases/websites/portals (CAQH, NPPES, Navinet, Availity, PECOS).
• Supports the department and assists with payer issues related to credentialing.
• Meets regularly with health plans to obtain provider statuses and address claims issues.
• Works with payors to ensure timely enrollment and active status.
• Escalates trends and issues to relevant stakeholders.

Education and Experience Requirements

• Minimum of 2 years of experience in physician credentialing and/or enrollment.
• Experience with credentialing databases/websites/portals (CAQH, NPPES, PECOS).
• Experience with Modio software preferred.
• Knowledge of revenue cycle processes.
• Overtime may be required.

Schedule

• Monday-Friday; 8:00am-5:00pm

Position Benefits

• Impact lives daily.
• Excellent training for newcomers.
• Mileage reimbursement (if applicable), matching IRS rates.
• Opportunity to save lives every day!

Benefits Package

• Medical, Dental, and Vision Insurance
• PTO
• 401K options with match and no vesting period
• Annual Continuing Education Allowance
• Life Insurance
• Short/Long Term Disability
• Paid maternity/paternity leave
• Mental Health day
• Calm subscription for all employees