Remote Provider Enrollment & Credentialing Coordinator

Intermountain Healthcare Inc.; Montpelier (VT); Remote; USD 31,000 - 47,000; Full time

Job summary

Intermountain Healthcare Inc. is seeking a remote Credentialing/Enrollment Specialist to coordinate provider enrollment across commercial and government payers.

You will manage CAQH, re-enrollments, and payer portals, ensuring timely and accurate submissions for multiple markets. Role requires healthcare revenue cycle experience, data accuracy, and strong coordination with AR, Coding, and Credentialing teams.

Qualifications

• High School graduate or equivalent is required.
• One year previous work experience in healthcare.
• Preferred previous work experience in a revenue cycle setting.
• Preferred previous work experience with provider enrollment and/ or credentialing.

Responsibilities

• Responsible for ensuring timely and accurate facility, medical group, and individual government enrollments for technical and professional fee claim reimbursement.
• Coordinates all aspects of provider enrollment with Intermountain Health’s commercial and government (Medicare and Medicaid) professional fee payer contracts for an entire market. Ensures enrollment is completed timely and accurately.
• Accurate data entry of up to date expirables, practice/billing locations and other pertinent information to the payer enrollment database.
• Participate in review, completion and/or submission of provider enrollment initial and re-enrollment applications for local and national commercial, Medicare, and Medicaid payers via payer online portals or other methods as applicable.
• Follow up with payers via phone, website, or email requesting network participation and follow up on submitted applications.
• Assist providers, and client personnel with completion of the application, routinely follow up with insurance carriers to monitor the status of applications and resolve issues.
• Facilitate completion, set-up and/or re-attestations of CAQH applications.
• Participates in enrollment progress update meetings for assigned market. Provides status information to stakeholders. Keeps detailed notes about enrollment progress in provider enrollment database and distributes information to designated department representatives and credentialing administrators.
• Submits provider change and termination requests to all health plans in a timely manner. Informs commercial and government payers and internal Intermountain stakeholders of provider and clinic updates in assigned market.
• Collaborates with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes and specific payer types.
• Execute large enrollment provider/payer projects. Complete provider enrollment and related duties for organizational clinic acquisitions. Collaborates with Recruitment in the onboarding and off-boarding of providers.

Skills

Computer literacy

Microsoft Office

Communication (oral and written)

Organizational Skills

Attention to Detail

Accountability/ability to work indip d

Customer Service

Knowledge of medical billing and lists

Medical terminology

Job description

Intermountain Healthcare Inc. is seeking a remote Credentialing/Enrollment Specialist to coordinate provider enrollment across commercial and government payers.

You will manage CAQH, re-enrollments, and payer portals, ensuring timely and accurate submissions for multiple markets. Role requires healthcare revenue cycle experience, data accuracy, and strong coordination with AR, Coding, and Credentialing teams.