Credentialing & Enrollment Specialist
Tasks
- Coordinate information between payers and facilities
- Ensure license and certification renewals
- Ensure provider information confidentiality
- Ensure timely payor enrollment
- Maintain provider data in credentialing systems
- Manage provider credentialing and recredentialing
- Manage provider privileging
- Prepare credentialing reports
- Resolve claim denials related to provider enrollment
- Resolve provider enrollment issues
- Review payor credentialing requirements
- Streamline onboarding workflows
- Track credentialing statistics
Perks/Benefits
- N/A
Skills/Tech-stack
Athena EMR | Credentialing | Google Sheets | HIPAA | Hospital Credentialing | MS Excel | Managed care | Payor Enrollment | Pivot Table | Provider enrollment | Salesforce | Verity CredentialStream
Education
N/A
Related jobs
-
AthenaOne | AthenaOne EMR | CredentialStream | Credentialing | HIPAA401k | Dental insurance | Expense Reimbursement for Home Office | Health insurance | Life insuranceEntry-level Full TimeRemote, USA, United States R20h ago
-
Customer Enrollment Specialist Infosec USD 32K-44KAttention to detail | Customer Service | Multitasking | Salesforce | Ticketing systemEntry-level Full TimeVirtual US IL, United States R1d ago
-
Enrollment Specialist (New Jersey) USD 50K-55KAthena EMR | AthenaOne | Claims Processing | CredentialStream | Credentialing401k | Dental insurance | Expense reimbursement | Life insurance | Medical insuranceEntry-level Full TimeRemote, USA, United States R2d ago
-
Payor Enrollment Specialist (SC Remote) USD 44K-50KCAQH | Confidentiality | Customer Service | Data Accuracy | Healthcare credentialing401k | Dental insurance | Employee referral program | Employer Paid Long-term Disability | Employer Paid Short-term DisabilityEntry-level Full TimeRemote, United States R4d ago
-
Availity | CAQH | Credentialing | Insurance Payers | Microsoft ExcelMid-level Full Time850 Poplar, United States R5d ago
-
Enrollment Specialist USD 32K-36KAdministrative support | Customer Service | Data Accuracy | Document Management | File ManagementFlexible paid time off | Mileage reimbursement | Professional growth opportunitiesEntry-level Full TimeDothan, Alabama, United States R7d ago
-
Data Visualization & Visitor Agreement Specialist USD 67K-107KAccess Management | Access compliance | Audit Trail | Copyright Compliance | DashboardRemote workMid-level Full TimePrinceton, NJ, United States R9d ago
-
P-17800 Managed Care Enrollment Specialist I USD 40K-75KCompliance | Credentialing | Customer Service | Data entry | Healthcare revenue cycleCareer mobility | Dental insurance | Employee assistance program | Employee discounts | Health insuranceEntry-level Full TimeAdministrative Campus, United States R9d ago
-
Payer & Provider Enrollment Specialist USD 50K-55KCredentialing | Data review | HIPAA | Health plan portals | Medicaid401k | Dental insurance | Health insurance | Life insurance | Paid time offEntry-level Full TimeRemote, USA, United States R14d ago
-
Provider Enrollment Specialist USD 40K-48KClaims Processing | Credentialing | Data Analysis | Data tracking | Microsoft Excel401k retirement savings plan | Discounted services | Employee Assistance Program (EAP) | Flexible work hours | Medical, dental & vision coverageMid-level Full TimeUnited States - Remote R15d ago
-
Provider Enrollment Specialist - Nevada / Remote USD 37K-53KCommunication skills | Customer Service | Data review | Documentation | Medicaid401k employer match | Educational assistance | Flexible vacation policy | Health benefits | Remote workMid-level Full TimeAny city, CA, US, 99999 R16d ago
-
Enrollment Specialist USD 32K-36KAdministrative procedures | Clerical procedures | Customer Service | Document Management | File ManagementCompetitive wages | Flexible paid time off | Professional growthEntry-level Full TimeTuscaloosa, Alabama, United States R18d ago
-
Enrollment Specialist USD 32K-36KCustomer Service | Document Management | HIPAA | Microsoft OfficeCompetitive wages and benefits | Flexible paid time off | Professional growthEntry-level Full TimeMobile, Alabama, United States R18d ago
-
Enrollment Specialist USD 32K-36KCustomer Service | HIPAA | Microsoft OfficeCompetitive wages and benefits | Flexible paid time off | Professional growth opportunities | Remote work | Travel requiredEntry-level Full TimeMontgomery, Alabama, United States R18d ago
-
Enrollment Specialist USD 32K-36KAdministrative procedures | Clerical procedures | Customer Service | Document Management | File ManagementCompetitive wages | Flexible paid time off | Health benefits | Professional growth opportunitiesEntry-level Full TimeBirmingham, Alabama, United States R18d ago
-
Service Delivery Fulfillment Specialist l USD 36K-38KCommission Calculations | Customer Relationship Management | Customer relationship | Customer relationship management (CRM) | Data entry401k match | Advancement opportunities | Annual community support | Associate recognition awards | Cable and internet discountMid-level Full TimeRemote AZ, United States R19d ago
-
Program Enrollment Specialist USD 32K-36KAdministrative support | Confidentiality | Customer Service | Data Accuracy | Document ManagementFlexible paid time offEntry-level Full TimeAlabama, United States R19d ago
-
Provider Enrollment Specialist USD 42K-58KAdobe Acrobat | CAQH | Commercial Insurance | Credentialing | Managed care403b retirement plan | Critical illness insurance | Flexible spending account | Health savings account | Home and auto insuranceEntry-level Full TimeRemote, United States R20d ago
-
Global Sales Analytics Specialist USD 78K-102KCRM | Data Analysis | Data Integrity | ERP | Microsoft ExcelRemote workMid-level Full TimeMinnesota, United States R21d ago
-
Credentialing & Enrollment Associate (Remote) USD 60K-67KAirtable | CRM | Certify | Excel | Google Sheets100% remote work | 401k access | EAP | Employee assistance program | FSAMid-level Full TimeRemote - United States R22d ago
-
Credentialing & Enrollment Specialist USD 57K-62KExcel Pivot | Excel Pivot Table | Google Sheets | HIPAA | Hospital CredentialingExpense reimbursement | Hybrid work schedule | Work from home optionMid-level Full TimeHouston, TX, United States R22d ago
-
Technical Sales Specialist (BioAnalytics) USD 90K-125KCRM | Microsoft Office | Salesforce | Sfdc401k matching | Dental insurance | EAP | FSA | Flexible work schedulesMid-level Full TimeHome Office United States of America R23d ago
-
APIs | Airtable | Anthropic APIs | Asana | Automation AnywhereRemote work | U S business hours autonomySenior-level Full TimeUnited States - Remote R27d ago
-
Enrollment Specialist (OR) USD 34K-36KCustomer Service | Data Accuracy | HIPAA | Microsoft OfficeBenefits | Competitive wages | Flexible paid time off | Professional growth opportunitiesEntry-level Full TimePortland, Oregon, United States R27d ago
-
Benefit Services - Member Fulfillment USD 40K-46KAdobe | Data Accuracy | Data entry | Google Workspace | KPI Management401k match | Employee assistance program | Health insurance | Hybrid work schedule | Medical insuranceEntry-level Full TimeDenver, CO - Hybrid R27d ago