Payer & Provider Enrollment Specialist
Tasks
- Attend RCM and payer calls
- Collaborate with credentialing team for new provider onboarding
- Enroll independent providers with commercial health plans
- Enroll providers with Medicaid
- Enroll providers with Medicare
- Escalate payer enrollment issues to manager
- Follow up with health plans until provider is PAR
- Manage payer enrollment process
- Review provider record taxonomy license specialty
- Submit payer enrollment applications
- Update provider enrollment status in CredentialStream
Perks/Benefits
- 401k
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Pet insurance
- Remote Home Office Expense Reimbursement
- Vision insurance
- Wellness programs
Skills/Tech-stack
Credentialing | Data review | HIPAA | Health plan portals | Medicaid | Medicaid Enrollment | Medicare | Medicare Enrollment | Problem Solving | Provider enrollment | RCM
Education
N/A
Related jobs
-
Attention to detail | Critical Thinking | Microsoft Excel | Microsoft Outlook | Microsoft PowerPointHybrid work scheduleMid-level ContractNashville, United States R11h ago
-
Provider Data and Enrollment Specialist I USD 69K-116KCredentialing | Data Integrity | Health insurance | Managed care | Medicare401k | Adoption reimbursement | CEU access | Critical illness insurance | Dental insuranceMid-level Full TimeSentara Health Plans Richmond - Remote, … R2d ago
-
Data Operations Specialist (Remote) USD 55K-62KAWS | Azure | CI/CD | CUI | Cause analysisRemote workMid-level Full TimeBethesda, MD, United States R2d 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 R3d ago
-
Provider Enrollment Specialist USD 32K-40KCredentialing | Data Auditing | Healthcare contracting | Medicaid | Medicare401k matching | Dental insurance | Discounted services | Employee assistance program | Flexible work hoursMid-level Full TimeUnited States - Remote R4d 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 R4d 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 R6d 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 R6d 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 R6d 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 R6d ago
-
Program Enrollment Specialist USD 32K-36KAdministrative support | Confidentiality | Customer Service | Data Accuracy | Document ManagementFlexible paid time offEntry-level Full TimeAlabama, United States R7d 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 R7d 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 R10d 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 R15d ago
-
Adult Learning | Adult learning principles | Clinical training | Device training | Interpersonal Communication401k match | Dental insurance | Employee assistance program | Health insurance | Health savings accountSenior-level Full TimeUSA-IL, United States R21d ago
-
Adult Education | Adult Learning | Adult learning principles | Clinical training | Equipment reprocessing401k plan | Dental insurance | Employee assistance program | Employee stock purchase plan | Health insuranceSenior-level Full TimeUSA-IL, United States R21d ago
-
Payment Integrity Data Mining Ideation SME USD 80K-100K3M Encoder | APC | CMS policies | CPT | Claims ProcessingQuality Initiatives Support | Remote work | Training supportMid-level Full TimeUnited States - Remote R23d ago
-
Enrollment Specialist (OR) USD 32K-36KAdministrative support | Customer Service | HIPAA | Microsoft Office | Oral CommunicationCompetitive wages | Flexible paid time off | Professional growth opportunitiesEntry-level Full TimeSalem, Oregon, United States R30d ago
-
Operations AI Specialist USD 160K-220KAnalytical Thinking | Communication | Data Annotation | Data Quality | Language ProcessingExtended workforce | W2 employmentSenior-level Full TimeUnited States - Remote R1mo ago
-
Enrollment Specialist USD 48K-52KAdmissions | Critical Thinking | Customer Service | Data entry | Financial Aid401k | Dental insurance | Disability insurance | Health insurance | Life insuranceEntry-level Full TimePhoenix, AZ, United States R1mo ago
-
Enrollment Specialist USD 48K-52KAdmissions | Admissions Processing | Communication skills | Critical Thinking | Customer Service401k retirement plan | Dental insurance | Disability insurance | Health insurance | Life insuranceEntry-level Full Timeremote, REMOTE, United States R1mo ago
-
CAQH | Credentialing software | Cycle management | Managed care | Medicaid401k match | Health insurance | Paid Holidays | Paid time offMid-level Full TimeRemote – must live in the … R1mo ago
-
Provider Credentialing & Enrollment Specialist USD 45K-55KApplication processing | CAQH | Credentialing | Denial Management | ETINPart-time | Remote work | Temporary positionEntry-level Part TimeRemote - United States, United States R1mo ago