Remote Provider Enrollment & Credentialing Specialist

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

Benefits offered by this job

PEAK education benefits

Generous benefits package

Job summary

Intermountain Health is seeking a Credentialing/Enrollment Coordinator to manage ongoing credentialing, enrollment and re-enrollment for the Medical Staff, Medical Directors and Administration. You will coordinate with commercial and government payers for an entire market and ensure timely, accurate enrollment across multiple payers.

Responsibilities include data entry, CAQH attestation, and collaboration with AR and Coding to address denial trends.

Qualifications

• High School Diploma or Equivalent.
• One year experience in a healthcare revenue cycle setting.
• Preferred experience with government or commercial payers in a revenue cycle setting.
• Preferred 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 provider enrollment with commercial and government payers for an entire market; ensures enrollment is timely and accurate.
• Data entry of expirables, practice/billing locations and other payer enrollment information.
• Assist with initial and re-enrollment applications for local and national payers via portals or other methods.
• Follow up with payers to monitor status and resolve issues.
• Facilitate CAQH applications.
• Submit provider changes to health plans in a timely manner.
• Collaborate with AR to identify denial trends and with Coding on CPT-related denials.
• Execute large enrollment projects and support clinic acquisitions.

Skills

Computer literacy

Microsoft Office

Communication (oral and written)

Organizational Skills

Attention to Detail

Accountability/ability to work indipd

Customer Service

Knowledge of medical billing and,4

Medical terminology

Education

High School Diploma or Equivalent

Tools

Epic

Provider enrollment systems

Job description

Intermountain Health is seeking a Credentialing/Enrollment Coordinator to manage ongoing credentialing, enrollment and re-enrollment for the Medical Staff, Medical Directors and Administration. You will coordinate with commercial and government payers for an entire market and ensure timely, accurate enrollment across multiple payers.

Responsibilities include data entry, CAQH attestation, and collaboration with AR and Coding to address denial trends.