Provider Enrollment Specialist
Tasks
- Communicate payer enrollment updates
- Complete credentialing and recredentialing
- Coordinate payer enrollment process
- Explain credentialing requirements
- Improve enrollment processes for accuracy and efficiency
- Maintain enrollment tracking matrices
- Obtain updated provider information
- Perform primary source verification research
- Resolve enrollment issues
- Support provider onboarding processes
- Track provider data in databases and spreadsheets
- Update provider credentialing data before expiration
Perks/Benefits
- 401k retirement savings plan
- Discounted services
- Employee Assistance Program (EAP)
- Flexible work hours
- Medical, dental & vision coverage
- Paid Holidays
- Paid time off
- Pet care coverage
Skills/Tech-stack
Claims Processing | Data Analysis | Healthcare | Medical billing | Microsoft Excel | Microsoft Outlook | Microsoft Word | Multitasking | PDF | Primary Source Verification | Project Management | Provider credentialing | Provider enrollment | Quality Assurance | Source verification
Education
Related jobs
-
AI/ML Integration Specialist USD 140K-180KArtificial Intelligence | Dashboard Development | Data Analysis | Data Modeling | Data TransformationDoD clearance sponsorship | Hybrid work | Training materials development supportMid-level Full TimeSan Diego, CA R3d ago
-
Dashboard Development | Data Auditing | Data Visualization | Data analytics | Google WorkspaceHybrid workMid-level ContractSouth San Francisco, United States R4d ago
-
Sr. Specialist, Data Analysis USD 117K-184KAgile Management | Agile methodology | Business Intelligence | Data Curation | Data Engineering401k retirement plan | Comprehensive benefits | Dental insurance | Hybrid work | Medical insuranceSenior-level Full TimeUSA - New Jersey - Rahway, … R4d ago
-
AI Solutions Support Specialist USD 44K-44KAutomation | Data Analysis | Data Privacy | JavaScript | Language ProcessingMid-level Full TimeDenver, Colorado, United States R4d ago
-
Agentic artificial intelligence | Artificial Intelligence | Business Analysis | Business Intelligence | Commercial AnalyticsContinual learning culture | Hybrid work model | Travel less than 20 percentSenior-level Full TimeUSA - Pennsylvania - North Wales … R4d ago
-
Data Quality Specialist USD 30K-36KContent Management | Data Governance | Data Validation | Data entry | Medical coding401k matching | Dental insurance | Employee Community Giveback | Employee assistance program | Employee discountsEntry-level Full TimeUnited States - Remote R6d ago
-
Supply Chain & Manufacturing AI Specialist USD 160K-220KAnalytics | Chain management | Data Annotation | Information Retrieval | Language ProcessingCollaborative work environment | Extended workforce | Flexible part-time scheduleSenior-level Full TimeUnited States - Remote R7d ago
-
Business Analytics Specialist - REMOTE USD 60K-77KAcceptance Testing | Business Intelligence | Case Development | Data Analysis | Data Modeling401k match | Community Volunteer Time Off | Dental and vision | Disability insurance | Employee assistance programMid-level Full TimeRemote-USA, United States R7d ago
-
AI Model Evaluation | AI model | AI red teaming | Adversarial prompting | Computational ChemistryFlexible hours | Fully remote | No minimum hours up to 40 hours per weekMid-level ContractRemote (USA) R8d 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
-
CAQH | Credentialing | HIPAA | NPPES) | PECOSAnnual bonus | Profit-sharing bonus | Remote work flexibility | Unlimited PTOSenior-level Full TimeUnited States - Remote 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 R8d 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 - … R11d ago
-
Data Mining Ideation Specialist USD 100KAPC | CPT | Claims Processing | Commercial Insurance | Coordination of BenefitsRemote work | Training and guidanceMid-level Full TimeUnited States - Remote R13d ago
-
A/B | A/B Testing | Agile | Automation | B testingEntry-level Full TimeNew York, NY, US, 10001 R14d 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 R15d ago
-
HR Reporting & Analytics Specialist USD 87K-174KData Analysis | Data collection | Executive Communication | HR Analytics | KPI Development401k savings | Employee assistance programs | Health and welfare benefits | Hybrid work flexibility | Professional development opportunitiesSenior-level Full TimeNew York - 1166, United States R15d 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 R15d ago
-
Data Scientist USD 95K-105KCause analysis | Customer Analytics | Data Analysis | Data Integrity | Data Modeling401k | Comprehensive healthcare plan | Disability coverage | Discount programs | Educational assistanceMid-level Full TimeRemote - Pennsylvania, United States R18d ago
-
Business Intelligence | Cause analysis | Cycle management | Data Analysis | Data Visualization401k match | Dental insurance | Employee assistance program | Employee discounts | Health insuranceMid-level Full TimeUnited States - Remote R21d 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 R26d ago
-
Remote - Enrollment Specialist - ID# 004 USD 32K-60KCommunication | Customer Service | Data entry | Microsoft Excel | Microsoft Outlook401k match | Dental/vision | Fully remote | Health benefits | Paid HolidaysMid-level Full TimeTexas, United States - Remote R27d ago
-
Remote - Enrollment Specialist USD 32K-60KCustomer communication | Data entry | Empathy | Microsoft Excel | Microsoft Outlook100 percent remote | 401k match | Advancement opportunities | Consistent schedule | Dental insuranceMid-level Full TimeMississippi, United States - Remote 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