
Provider Enrollment Coordinator
2 days ago
Provider Credentialing Specialist (Permanent Work-From-Home)
About the Position:
We are seeking experienced professionals with a strong background in end-to-end Provider Enrollments, Insurance Credentialing, and Provider Contracting. This role is ideal for individuals who thrive in a remote work environment and are committed to maintaining clear communication with our team and clients.
Key Responsibilities:
- Manage the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and completing enrollment applications for all states.
- Engage with payers via calls and emails to ensure the successful processing of both individual and group applications.
- Demonstrate expertise in submitting required documentation for private commercial payors, Medicare, Medicaid, Medicaid MCO, and Medicare supplement/replacement plans.
- Maintain regular communication with clients, providing updates and ensuring the 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 the 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 the ability to work independently in a remote setting.
- Proficiency in using credentialing portals and managing the associated documentation.
- Exceptional communication skills to effectively engage with both clients and payers.
Benefits:
This role offers a monthly salary and a quiet home office environment with no distractions.
Work Environment:
The ideal candidate will have at least 1 year of experience working from home successfully during EST hours and will have a fast dedicated laptop/PC I5+, 8GB Ram, Windows 10/11 (licensed and activated), MS Office 2013 + (working copy) and minimum dedicated fast internet 50MB+ (must be fiber or cable into your home).
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