
Provider Enrollment Expert
5 days ago
Senior Credentialing Specialist Job Overview
We are seeking an experienced professional to manage provider enrollments, insurance credentialing, and provider contracting. The ideal candidate will have a strong background in these areas and be able to work independently in a remote setting.
Main Responsibilities:
- Oversee the full spectrum of provider credentialing and enrollment processes.
- Engage with payers via calls and emails to ensure successful processing of applications.
- Demonstrate expertise in submitting required documentation for various payers and platforms.
- Maintain regular communication with clients and provide updates on the provider status with payers.
- Manage end-to-end processes for creating and maintaining provider details on multiple platforms.
- Handle application and renewal processes for all provider licenses.
- Ensure continuous updating and maintenance of client and application data.
Key Skills and Qualifications:
- Minimum 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 for engaging with clients and payers.
Requirements:
- A dedicated laptop or PC with I5+ processor, 8GB RAM, Windows 10/11, and MS Office 2013+
- Quiet home office with minimal distractions
- At least 1 year of experience working from home successfully during EST hours
- Fast, dedicated internet connection (minimum 50MB)
- 9am-6pm EST Monday-Friday shift
Benefits:
- Remote work opportunity
- Opportunity to work with a dynamic team
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