Remote Provider Enrollment & Credentialing Coordinator

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

Job summary

Intermountain Health is seeking a Credentialing and Enrollment Specialist to coordinate provider credentialing and enrollment activities. You will liaise between Medical Staff, Medical Directors and Administration to ensure timely and accurate credentialing, re-credentialing and enrollment across multiple payer contracts.

The role requires healthcare revenue cycle experience, strong data entry skills and proficiency with payer portals; duties include CAQH participation and collaboration with AR

Qualifications

• High School diploma or equivalent required.
• 1 year experience in a healthcare revenue cycle setting.
• Preferred 1 year of experience with government or commercial payers; provider enrollment/credentialing experience.

Responsibilities

• Provide liaison between Medical Staff, Directors and Admin; manage credentialing/privileging processes.
• Complete payer re-credentialing requests and demographic/roster updates.
• Enroll providers with commercial and government payers; follow up with payers to ensure timely enrollment.
• Input accurate data into enrollment databases and generate status reports for stakeholders.
• Coordinate CAQH applications and provider enrollment across markets.

Skills

Computer literacy

Microsoft Office

Communication (oral and written)

Organizational Skills

Attention to Detail

Accountability/ability to work indep.

Customer Service

Knowledge of medical billing and - 0

Medical terminology

Education

High School Diploma or Equivalent

Tools

Epic

Job description

Intermountain Health is seeking a Credentialing and Enrollment Specialist to coordinate provider credentialing and enrollment activities. You will liaise between Medical Staff, Medical Directors and Administration to ensure timely and accurate credentialing, re-credentialing and enrollment across multiple payer contracts.

The role requires healthcare revenue cycle experience, strong data entry skills and proficiency with payer portals; duties include CAQH participation and collaboration with AR