Remote Provider Enrollment & Credentialing Specialist

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

Job summary

Intermountain Health is seeking a Credentialing Coordinator to oversee provider enrollment, credentialing, and key administrative tasks for medical staff and allied professionals across a market.

You will coordinate enrollment with commercial and government payers (Medicare/Medicaid), manage CAQH activities, and monitor applications, denials, and data accuracy while collaborating with billing and coding teams.

Qualifications

• High School diploma or equivalent required.
• One year experience in a healthcare revenue cycle setting.
• Preferred: prior experience with provider enrollment and/ or credentialing.

Responsibilities

• Ensures 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 payers for an entire market, ensuring timely and accurate enrollment.
• Accurate data entry of expirables, locations, and other pertinent information into the payer enrollment database.
• Prepare and submit provider enrollment initial and re-enrollment applications for local and national payers via portals or other methods.
• Follow up with payers by phone, website, or email to advance enrollment and network participation.
• Assist providers and client personnel with applications and monitor status with insurance carriers.
• Facilitate CAQH setup and attestations.
• Provide enrollment progress updates to stakeholders and credentialing administrators.

Skills

Computer literacy

Microsoft Office

Communication

Organizational Skills

Attention to Detail

Accountability

Customer Service

Medical terminology

Knowledge of billing

Education

High School Diploma or Equivalent

Job description

Intermountain Health is seeking a Credentialing Coordinator to oversee provider enrollment, credentialing, and key administrative tasks for medical staff and allied professionals across a market.

You will coordinate enrollment with commercial and government payers (Medicare/Medicaid), manage CAQH activities, and monitor applications, denials, and data accuracy while collaborating with billing and coding teams.