20 часов назад
Credentialing & Payor Enrollment Specialist
19 - 75$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
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
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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