Remote Provider Enrollment Specialist

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

Benefits offered by this job

Benefits package

Job summary

Intermountain Healthcare Inc. is seeking a Provider Enrollment Specialist to coordinate credentialing and enrollment across commercial and government payers for an entire market.

You will work with Medical Staff, Medical Directors and Administration to ensure timely, accurate enrollments and recredentialing. Responsibilities include updating enrollment progress, handling CAQH attestations, and following up with payers.

Qualifications

• High School diploma or equivalent.
• One year of healthcare revenue cycle experience.
• Preferred experience with provider enrollment/credentialing.
• Knowledge of medical billing databases is beneficial.

Responsibilities

• Ensures timely and accurate facility, medical group, and individual enrollments for reimbursement.
• Coordinates provider enrollment with commercial and government payers for an entire market.
• Performs data entry for expirables, locations and payer information.
• Submits initial and re-enrollment applications via payer portals.
• Follows up with payers by phone, website or email to secure participation.
• Assists providers with enrollment applications and tracks status.
• Facilitates CAQH set-up, attestation and maintenance.
• Reports enrollment progress to stakeholders and credentialing admins.
• Coordinates provider changes and terminations with health plans.
• Collaborates with AR and Coding on denial trends.

Skills

Computer literacy

Microsoft Office

Communication

Organizational Skills

Attention to Detail

Accountability

Independence

Customer Service

Medical terminology

Knowledge of medical billing and...

Education

High School Diploma

Healthcare revenue cycle experience

Tools

Payer enrollment portals

Job description

Intermountain Healthcare Inc. is seeking a Provider Enrollment Specialist to coordinate credentialing and enrollment across commercial and government payers for an entire market.

You will work with Medical Staff, Medical Directors and Administration to ensure timely, accurate enrollments and recredentialing. Responsibilities include updating enrollment progress, handling CAQH attestations, and following up with payers.