
Provider Enrollment Coordinator
1 day ago
Job Overview
">We are seeking a skilled Provider Credentialing Specialist to join our team. This is an exciting opportunity for professionals who thrive in a remote work environment and have a strong background in provider enrollments, insurance credentialing, and contracting.
">Key Responsibilities:
">- ">
- Manage the entire provider credentialing and enrollment process, including filing Letters of Interest and completing enrollment applications.">
- Communicate effectively with payers via calls and emails to ensure successful processing of individual and group applications.">
- Submit required documentation for private commercial payors, Medicare, Medicaid, Medicaid MCO, and Medicare supplement/replacement plans.">
- 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.">
- Ensure continuous updating and maintenance of client and application data, readily available for client requests.">
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 both clients and payers.">
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