Senior Provider Enrollment & Credentialing Specialist
Tasks
- Communicate with clients providers and payers
- Ensure HIPAA compliance and confidentiality
- Escalate enrollment issues
- Follow up with payers and resolve delays
- Handle revalidations and updates
- Maintain accurate provider data and documentation
- Maintain credentialing files and records
- Manage provider enrollment workflows
- Monitor application progress across clients
- Prepare review submit payer enrollment applications
Perks/Benefits
Skills/Tech-stack
CAQH | Credentialing | HIPAA | NPPES) | PECOS | Payer Applications | Payer Portals | Provider enrollment | Revalidation
Education
N/A
Related jobs
-
Provider Enrollment Specialist USD 40K-48KClaims Processing | Data Analysis | Healthcare | Medical billing | Microsoft Excel401k retirement savings plan | Discounted services | Employee Assistance Program (EAP) | Flexible work hours | Medical, dental & vision coverageMid-level Full TimeUnited States - Remote R1d ago
-
Credentialist - Provider Enrollment Specialist USD 36K-40KCredentialing | DEA Registration | Insurance Credentialing | Medical billing | Provider enrollmentFully remote | Opportunities for growth | Weekends off | Work-life balanceMid-level Full TimeToledo, Ohio, United States R8d ago
-
Call Logging | Customer Service | Data entry | HIPAA | Microsoft ExcelNo Travel | Part-time schedule | Remote work | Work from homeEntry-level Part TimeRemote - Alabama, United States R9d ago
-
Accounts Receivable Specialist I (Provider Enrollment Administrative Assistant) - Remote USD 34K-36KAcrobat Pro | Administrative support | Adobe Acrobat | Adobe Acrobat Pro | Credentialing401k | Dental insurance | Employee stock purchase plan | Flexible time off | Life insuranceEntry-level Full TimeUSA - NC - Burlington - … R12d ago
-
Provider Enrollment Specialist USD 48K-52KAvaility | CAQH | Claims investigation | Credentialing | Cycle management401k match | Dental insurance | Health insurance | Paid time off | Vision insuranceMid-level Full TimeNY - Remote, United States R16d ago
-
Provider Enrollment Specialist USD 48K-52KAvaility | CAQH | Credentialing | Cycle management | Insurance verification401k match | Dental insurance | Health insurance | Paid time off | Vision insuranceMid-level Full TimeNY - Remote, United States R16d ago
-
CAQH | Credentialing software | Cycle management | Managed care | Medicaid401k match | Health insurance | Paid Holidays | Paid time offMid-level Full TimeRemote – must live in the … R23d 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 R27d ago
-
Enrollment Systems Lead USD 55K-75KCAQH | Delegated Credentialing | Demographic Updates | Enrollment Metrics Reporting | Metrics Reporting401k matching | Company offsite events | Employee wellness | Free therapy | Hardware and software reimbursementSenior-level Full TimeUS - Remote R1mo ago
-
Provider Enrollment Specialist USD 90K-161KAdobe Acrobat | CAQH | Credentialing | Excel | Healthcare ComplianceMid-level Full TimeUnited States R1mo ago