Remote Provider Enrollment Specialist

Intermountain Healthcare Inc.; Jackson (MS); On-site; USD 31,000 - 47,000; Full time

Benefits offered by this job

Generous benefits package

PEAK tuition program

Job summary

Intermountain Health in Utah is seeking a credentialing/enrollment coordinator to manage timely provider enrollment across commercial and government payers. You will coordinate with Medical Staff, Directors, andAdministration to ensure accurate enrollment, re-credentialing, and CAQH activities.

You will perform data entry, payer portals submissions, and follow-ups while collaborating with AR, Coding, and Recruitment on market initiatives.

Qualifications

• High School Diploma or Equivalent.
• One year experience in a healthcare revenue cycle setting.
• Experience with government payers and/or commercial payers preferred.
• Preferred experience with provider enrollment and credentialing.

Responsibilities

• Responsible for ensuring 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.
• Accurate data entry of up-to-date expirables, locations, and other pertinent information to the payer enrollment database.
• Submit provider enrollment applications for local and national payers via portals or other methods.
• Follow up with payers to request network participation and status of applications.
• Assist providers with application completion and monitor status with insurers.
• Facilitate CAQH applications setup and attestations.
• Participate in enrollment progress update meetings and share status with stakeholders.
• Submit provider changes to health plans in a timely manner and inform internal stakeholders.
• Collaborate with teams to identify denial trends related to CPT codes and payer types.
• Execute large enrollment projects and assist with clinic acquisitions and onboarding/offboarding.

Skills

Computer literacy

Microsoft Office

Communication

Organizational skills

Attention to detail

Independent work

Customer service

Medical billing knowledge

Medical terminology

Education

High School Diploma or Equivalent

Tools

Epic

Job description

Intermountain Health in Utah is seeking a credentialing/enrollment coordinator to manage timely provider enrollment across commercial and government payers. You will coordinate with Medical Staff, Directors, andAdministration to ensure accurate enrollment, re-credentialing, and CAQH activities.

You will perform data entry, payer portals submissions, and follow-ups while collaborating with AR, Coding, and Recruitment on market initiatives.