Credentialing and Enrollment Specialist (Remote)
The Credentialing & Enrollment Specialist facilitates and manages the credentialing and enrollment process from start to finish. This role requires a variety of tasks such as enrolling new providers, maintaining CAQH profiles, auditing payer directories, and adhering to HIPAA guidelines. It also involves daily communication with different parties including payers, internal teams, and providers.
Responsibilities: ? Enroll and revalidate providers with payers ? Submit enrollment applications ? Ensure timely application processing ? follow up on application processing ? Update provider information in databases ? Manage CAQH profiles and facilitate re-attestations ? Collaborate with teams and customers ? Adhere to HIPAA guidelines ? Audit and update payer directories ? Verify enrollment status and instructions ? Maintain provider information in databases
Qualifications:
Experience:
? 2-4 years in credentialing
? Healthcare sector experience
? Customer Service and Revenue Cycle Management experience
? Proficiency in CAQH, NPPES, and PECOS
Skills:
? Task-oriented with strong attention to detail
? Excellent in documentation and communication
? Ability to prioritize, manage time, and work effectively both individually and in a team
Traits:
? Persistent, unafraid to ask questions
Benefits:
? 401(k)
? 401(k) matching
? Health insurance
? Dental insurance
? Vision insurance
? Disability insurance
? Life insurance
? Flexible spending account
? Employee assistance program
? Flexible schedule
? Paid time-off
Schedule: Dayshift (remote based)
Similar Remote Jobs
Credentialing and Enrollment Specialist (Remote)
Posted on: 24-01-2025 04:49
Entry Level Customer Service Agent (Remote Chat Support, No Experience)
Posted on: 24-01-2025 04:49
Project Manager Mid Level
Posted on: 24-01-2025 04:49
Part-time New Home Agent
Posted on: 24-01-2025 04:49
Fully Remote Intake Specialist (Part-time & Fulltime | Flexible Hours Day * Night Shifts)
Posted on: 24-01-2025 04:49
Freelance Remote Bookkeeping Jobs: Apply Now!
Posted on: 24-01-2025 04:49
Verizon Wireless Order Entry
Posted on: 24-01-2025 04:49
Data Centre Ops Lead
Posted on: 24-01-2025 04:49
[Part Time] Virtual Assistant Jobs No Experience At Ups (Online)
Posted on: 24-01-2025 04:49
Customer Support Agent Chat (Remote / Entry Level / Part Time)
Posted on: 24-01-2025 04:49
American Express jobs ? United States - Work From Home $25/Hour
Posted on: 23-01-2025 00:00
Customer Service Team Lead - Remote in New York state
Posted on: 16-07-2024 18:35
Principal AI Engineer
Posted on: 16-07-2024 18:36
Data Entry Career Job At Delta Airlines Hiring Now
Posted on: 31-01-2025 10:01
Jobs on the Phone Working from Home ? Transition to a Non-Phone Role as a Live Chat Agent, $25-$35/hr
Posted on: 21-02-2025 00:00
Ohio Residents Only - Healthcare Customer Service Representative
Posted on: 31-01-2025 10:00
Front Desk Receptionist | GumGum | $24 ? $29 | Remote (United States)
Posted on: 26-08-2024 00:00
Freelance Designer (Part Time)
Posted on: 02-10-2024 00:00
Work From Home Amazon Data Entry Jobs - Part-Time
Posted on: 18-02-2025 03:59
Backpack Healthcare Residency Program
Posted on: 30-12-2024 06:50