
Senior Provider Enrollment Specialist
5 days ago
We are seeking experienced professionals with a strong background in provider enrollments, insurance credentialing, and contract management.
This role is ideal for individuals who thrive in remote work environments and are committed to maintaining clear communication with clients and colleagues.
Key Responsibilities:
- Manage the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and completing applications for all states.
- Engage with payers via calls and emails to ensure successful processing of individual and group applications.
- Demonstrate expertise in submitting required documentation for private commercial payors, Medicare, Medicaid, and other regulatory bodies.
- Maintain regular communication with clients, providing updates and ensuring active status of providers with payers.
- Handle end-to-end processes for creating and maintaining provider details on platforms such as CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals.
- Manage application and renewal process for all provider licenses, including Professional, DEA, and Controlled Substance licenses.
Requirements:
- A minimum of 5 years of experience in provider credentialing and enrollment.
- Strong organizational skills and ability to work independently in a remote setting.
- Proficiency in using credentialing portals and managing associated documentation.
- Exceptional communication skills to effectively engage with clients and payers.
Mandatory Requirements:
- Fast dedicated laptop/PC I5+, 8GB Ram, Windows 10/11 (licensed and activated), MS Office 2013 + (working copy).
- Quiet home office with no distractions.
- Minimum dedicated fast internet 50MB+ (must be fiber or cable into your home).
Benefits:
- Monthly Salary.
The ideal candidate will have excellent communication and organizational skills, with a strong attention to detail and ability to work independently in a remote environment.
They should also have a high level of proficiency in using credentialing portals and managing associated documentation, as well as exceptional communication skills to effectively engage with clients and payers.
Why Work with UsWe offer a competitive monthly salary and a quiet home office environment with no distractions.
Our team is passionate about delivering high-quality services and working collaboratively with clients to achieve their goals.
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