Remote Provider Enrollment Specialist

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

Job summary

Intermountain Health is seeking a Credentialing & Enrollment Specialist to coordinate all provider enrollments across commercial and government payers. You will manage timelines, maintain enrollment data, and collaborate with AR and Coding to identify denial trends.

The role involves supporting re-enrollment, expirables, and CAQH activities while engaging with recruitment for onboarding processes. A strong understanding of payer portals and credentialing workflows is essential.

Qualifications

• High School diploma or equivalent is required.
• One year experience in a healthcare revenue cycle setting preferred.
• Knowledge of provider enrollment and credentialing processes is beneficial.

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; ensures enrollment is completed timely and accurately.
• Accurate data entry of up-to-date expirables, practice/billing locations and other pertinent information to the payer enrollment database.
• Participate in review, completion and submission of provider enrollment initial and re-enrollment applications for local and national payers.
• Follow up with payers to request network participation and monitor submitted applications.
• Assist providers with application completion and monitor status with insurance carriers.
• Facilitate CAQH applications completion and re-attestation.
• Attend enrollment progress update meetings and distribute statuses to stakeholders.

Skills

Computer literacy

Microsoft Office

Communication (oral and written)

Organizational Skills

Attention to Detail

Accountability/ability to work indip…

Customer Service

Knowledge of medical billing and...

Medical terminology

Education

High School Diploma or Equivalent

Job description

Intermountain Health is seeking a Credentialing & Enrollment Specialist to coordinate all provider enrollments across commercial and government payers. You will manage timelines, maintain enrollment data, and collaborate with AR and Coding to identify denial trends.

The role involves supporting re-enrollment, expirables, and CAQH activities while engaging with recruitment for onboarding processes. A strong understanding of payer portals and credentialing workflows is essential.