Remote Provider Enrollment & Credentialing Specialist

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

Benefits offered by this job

PEAK program

Job summary

Intermountain Health is seeking a Credentialing and Enrollment Coordinator for a fully remote role. You will liaise between Medical Staff, Medical Directors, and Administration, directing credentialing and privileging processes across markets.

Responsibilities include enrollment progress tracking, payer re-credentialing, CAQH attestations, and collaboration with payer contracts, AR, and Coding to resolve denials.

Qualifications

• High School diploma or equivalent required.
• One year experience in a healthcare revenue cycle setting preferred.
• Preferred experience with government payers and/or commercial payers in a revenue service setting.
• Knowledge of working medical billing database work queues.

Responsibilities

• Provides ongoing support and coordination as a liaison between the Medical Staff, Medical Directors, and Administration.
• Manages enrollment progress and communicates status to stakeholders; maintains notes in enrollment database.
• Completes payer re-credentialing requests and demographic/roster requests.
• Coordinates provider enrollment with commercial and government payers for an entire market; follows up with payers to ensure timely enrollment.
• Acts in enrollment processes and data entry for expirables, locations, and provider changes.

Skills

Computer literacy

Microsoft Office

Communication

Organizational Skills

Attention to Detail

Accountability/ability to work indipd

Customer Service

Knowledge of medical billing and bill

Medical terminology

Education

High School diploma

Job description

Intermountain Health is seeking a Credentialing and Enrollment Coordinator for a fully remote role. You will liaise between Medical Staff, Medical Directors, and Administration, directing credentialing and privileging processes across markets.

Responsibilities include enrollment progress tracking, payer re-credentialing, CAQH attestations, and collaboration with payer contracts, AR, and Coding to resolve denials.