
Senior Provider Enrollment Coordinator
3 days ago
Overview:
We are seeking an experienced Credentialing Specialist to manage the full spectrum of provider credentialing and enrollment. This role is ideal for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our team and clients.
Main Responsibilities:
- Provider Credentialing: Manage the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and completing enrollment applications for all states.
- Payer Engagement: Engage with payers via calls and emails to ensure the successful processing of both individual and group applications.
- Documentation Submission: Demonstrate expertise in submitting required documentation for private commercial payors, Medicare, Medicaid, Medicaid MCO, and Medicare supplement/replacement plans.
- Client Communication: Maintain regular communication with clients, providing updates and ensuring the active status of providers with payers.
- Platform Management: Handle end-to-end processes for creating and maintaining provider details on platforms such as CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals.
- License Renewal: Manage the application and renewal process for all provider licenses, including Professional, DEA, and Controlled Substance licenses.
- Data Maintenance: 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 the 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.
Benefits:
- Monthly salary.
Working Conditions:
- Quiet home office with no distractions.
- Dedicated fast internet (50MB+), preferably fiber or cable into your home.
- 9am-6pm EST Mon-Fri shift.
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