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20 часов назад

Credentialing & Payor Enrollment Specialist

19 - 75$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
junior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Credentialing & Payor Enrollment Specialist (Provider Enrollment/Healthcare RCM): Managing provider credentialing and insurance payor enrollment for strategic partners with an accent on CAQH data, payer applications, licensing records, and time-sensitive renewals. Focus on maintaining accurate provider information, completing onboarding activities, responding to payer requests, and identifying process improvements across revenue cycle operations.

Location: Remote nationwide in the United States; travel and onsite work at client, temporary, or corporate office locations may be required based on business needs.

Salary: $19.75–$23.50 per hour, based on experience.

Company

hirify.global provides technology-enabled revenue cycle management solutions and point solutions for hospitals, health systems, and affiliated physician groups across the United States.

What you will do

  • Maintain accurate CAQH profiles, provider records, attestations, licenses, and annual provider or location updates.
  • Enter provider applications into payer portals and manage enrollment through databases, CAQH, NPPES, licensing boards, and payer websites.
  • Track provider onboarding activities, follow up on time-sensitive tasks, and ensure completion against deadlines and quality standards.
  • Respond to payers, strategic partners, internal departments, vendors, and facilities with enrollment and credentialing updates.
  • Identify support and performance gaps, propose technology or process improvements, and help implement best practices.
  • Protect confidential provider information, address emerging issues, and escalate risks or complex matters to leadership.

Requirements

  • 1–3 years of relevant experience.
  • High school diploma, GED, or equivalent experience.
  • Experience with insurance enrollments is strongly preferred.
  • Intermediate Excel proficiency and working knowledge of databases and enrollment software.
  • Strong attention to detail, problem-solving, independent work, prioritization, deadline management, and written and verbal communication skills.
  • Knowledge of PECOS and state Medicaid portals; openness to using AI to improve processes is required.

Culture & Benefits

  • Comprehensive healthcare, time off, retirement, and well-being benefits.
  • Paid professional certifications and tuition reimbursement.
  • Bonus and quarterly or annual incentive programs.
  • Remote work with work-life flexibility, collaboration, growth, and innovation.
  • Career advancement opportunities and recognition programs.

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