Junior Provider Enrollment and Credentialing Specialist
Tasks
- Assist with recredentialing
- Assist with revalidation
- Communicate with external stakeholders
- Communicate with internal departments
- Communicate with providers
- Ensure accreditation compliance
- Ensure regulatory compliance
- Follow up with payers
- Follow up with providers
- Gather provider information
- Maintain provider data
- Organize credentialing documentation
- Organize enrollment documentation
- Perform credentialing record audits
- Perform provider file audits
- Prepare provider enrollment applications
- Provide administrative support
- Report milestones to leadership
- Submit provider enrollment applications
- Track application status
- Update credentialing systems
- Verify provider information
Perks/Benefits
- 401k match
- CEUs
- Clinical supervision
- Cross Licensure Opportunities
- Dental benefits
- HSA & FSA options
- Health benefits
- HealthJoy Therapy
- Licensing Fees Covered
- PTO
- Pet insurance
- Tuition reimbursement
- UHC Wellness Program
- Vision benefits
Skills/Tech-stack
Availity | CAQH | Credentialing software | Data Management | Microsoft Excel | Microsoft Outlook | Microsoft Word | PECOS | Provider credentialing | Provider enrollment | Regulatory Compliance
Education
Related jobs
-
Sr. Enrollment & Billing Specialist (Remote) USD 60K-75KClaims Processing | Data Quality | Data Quality Review | Expense tracking | File TransferRemote workSenior-level Full TimeOak Brook, IL, United States R3h ago
-
Enrollment Specialist USD 65KCAQH | CRM | Commercial Insurance | Credentialing | Cycle management401k | Bereavement leave | Dental insurance | Medical insurance | Paid time offMid-level Full TimeRemote R2d ago
-
Data Analysis | Data Modeling | Data Preprocessing | Data Visualization | EconomicsMid-level Full TimeIndia R3d ago
-
Provider Enrollment Representative USD 38K-38KCustomer Service | Data Management | Health insurance | Microsoft Office | Provider enrollmentCareer development opportunities | Health benefitsMid-level Full TimeRemote SD (Central Time), United States R3d ago
-
RN: Clinical Analytics Specialist USD 78K-157KClinical decision support | Clinical informatics | Content Management | Content Management Systems | Data ModelingMid-level Full TimeHome based-Texas, United States R3d ago
-
RN: Clinical Analytics Specialist USD 78K-157KBig Data | Clinical accuracy validation | Clinical data | Clinical data extraction | Clinical decision supportMid-level Full TimeHome based-Texas, United States R3d ago
-
Analytics and pricing expert - Insurance EUR 70K-87KBusiness Strategy | Data Analysis | Insurance pricing | Product Design | Regulatory ComplianceEquity | Flexible work arrangements | Health insurance | Parental leave | Training and developmentSenior-level Full TimeAnywhere in France R3d ago
-
Clinical Analytics Specialist – MD USD 78K-157KBiostatistics | Clinical Research | Content Management | Dashboarding | EpidemiologyFlexible work arrangements | Health benefitsMid-level Full TimeHome based-Texas, United States R4d ago
-
Claims data | Data Analysis | Data Visualization | Healthcare Data | Healthcare Data AnalysisHealth benefits | Paid time off | Retirement plan | Tuition reimbursementSenior-level Full TimeCT, Bloomfield, 900 Cottage Grove Rd … R5d ago
-
Payer Enrollment Specialist USD 44K-85KCommunication | Compliance | Credentialing | Organization | Payer relationsFlexible schedule | Remote workMid-level Full TimeAZ, AZ, USA R8d ago
-
Forward Deployed Data Scientist (Healthcare) USD 150K-190KClaims | Data Delivery | Data Management | Data Privacy | Data QAMid-level Full TimeRemote R9d ago
-
Jnr. Dev & Data Analytics Specialist UAH 408K-600KBO-WEBI | Business Intelligence | DAX | Data Management | ExcelCareer development opportunities | Company-provided equipment | Flexible work arrangements | Inclusive environment | Medical insuranceNone Full TimeLviv, UA, 79048 R9d ago
-
Data Quality Expert - REMOTE USD 108K-184KAutomation tools | Child Welfare | Child welfare policy | Communication skills | Data QualityHealth benefits | Professional development | Remote workSenior-level Full TimeNationwide Remote Office (US99), United States R10d ago
-
Provider Enrollment Specialist(Remote) USD 65K-75KAttention to detail | Credentialing | Data verification | Database Management | ExcelDental coverage | Employee assistance program | Flexible work hours | Medical coverage | Paid HolidaysMid-level Full TimeTexas, Houston, United States of America R16d ago
-
Embedded Caris Operations Manager - Maryland USD 70K-90KCRM systems | Clinical Documentation | Communication | Customer Service | Diagnostic TestingHealth insurance | Paid time off | Professional development opportunitiesMid-level Full TimeRemote - Maryland, United States R16d ago
-
Embedded Caris Operations Manager - Flint, Michigan USD 95K-115KClinical Workflow Management | Clinical workflow | Communication skills | Customer Service | Data AnalysisFlexible work hours | Professional development opportunitiesMid-level Full TimeRemote - Michigan, United States R16d ago
-
Data Analysis | Data Management | Data Visualization | Python | RCollaborative environment | Flexible work hours | Professional growth opportunities | Remote workMid-level Full TimeArizona R17d ago
-
Data Onboarding Specialist - Entry Level USD 38K-48KCommunication skills | Data Analysis | Data Management | Data reporting | Google SuiteFlexible hours | MentorshipEntry-level Full TimeWorldwide, United States R17d ago
-
Sr Data Governance & MDM Specialist USD 92K-138KChange Management | Cloud Platforms | Data Governance | Data Management | Data Modeling401k | Employee assistance program | Flexible spending accounts | Health insurance | Paid time offSenior-level Full TimeRemote Idaho, United States R17d ago
-
Communication | Data Analysis | Data Management | English | ExcelCompany-provided equipment | Flexible work arrangements | Medical insurance | Paid vacation and sick leave | Professional developmentMid-level Full TimeLviv, UA, 79048 R19d ago
-
Data Analysis | Data Management | Data Validation | Excel | Problem SolvingCompany-provided equipment | Flexible schedule | Hybrid work | Medical insurance | Mental health supportMid-level Full TimeLviv, UA, 79048 R19d ago
-
Cloud Platforms | Data Analysis | Data Ecosystems | Data Management | Data Visualization401k match | Dental | Healthcare | Paid Holidays | Paid time offSenior-level Full TimeWashington R21d ago