Remote Provider Enrollment Specialist

Healthcare Administrative Partners; Portsmouth (NH); On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Retirement plan

Paid time off

Flexible schedule

Philanthropy

Job summary

Healthcare Administrative Partners is seeking a Provider Enrollment Specialist to join our remote Enrollment team. You will manage the timely credentialing of providers and facilities with third-party carriers and government plans, while acting as the liaison with insurers on enrollment matters.

The role requires accuracy, the ability to meet deadlines, and strong customer service as you maintain credentials in CAQH and other databases, and communicate updates to carriers and clients.

Qualifications

• All enrollments and re-credentialing with third party carriers and government health plans.
• Meet deadlines for provider communications, enrollment and follow-up.
• Resolve credentialing inquiries with internal and external stakeholders.

Responsibilities

• Responsible for all enrollments and re-credentialing with third party carriers and government health plans
• Meet or exceed all deadline requirements for provider and communications, enrollment and follow-up
• Act as liaison to resolve credentialing related inquiries
• Report to manager any unresolved issues or missing information that cannot be obtained
• Maintain contact logs documenting requests for additional information on credentialing shared drive
• Document, maintain and crosscheck facility and provider credentials in multiple databases, including CAQH and third-party web-based databases as required
• Communicate carrier updates and changes in policies as received
• Establish and preserve quality working relationships with internal and external customers, utilizing excellent customer service skills

Skills

Customer service

Credentialing

Problem solving

Tools

CAQH

Job description

Healthcare Administrative Partners is seeking a Provider Enrollment Specialist to join our remote Enrollment team. You will manage the timely credentialing of providers and facilities with third-party carriers and government plans, while acting as the liaison with insurers on enrollment matters.

The role requires accuracy, the ability to meet deadlines, and strong customer service as you maintain credentials in CAQH and other databases, and communicate updates to carriers and clients.