This list contains only the countries for which job offers have been published in the selected language (e.g., in the French version, only job offers written in French are displayed, and in the English version, only those in English).
This Contract to permanent role focuses on ensuring smooth credentialing and enrollment processes for healthcare providers. The ideal candidate will play a vital part in maintaining compliance with payer requirements and facilitating timely reimbursements.
Job Responsibility:
Obtain licenses, certifications, and essential documentation from healthcare providers to support accurate and efficient billing processes
Prepare and submit enrollment applications to payers, ensuring providers are linked to group billing for reimbursement
Maintain accurate and up-to-date records of provider credentials to support credentialing and re-credentialing activities
Collaborate with third-party payers to resolve enrollment issues and ensure uninterrupted cash flow
Meet with newly contracted providers to guide them through the insurance enrollment process
Liaise with insurance representatives to expedite enrollment and address any challenges
Communicate enrollment updates to providers, billing managers, and organizational stakeholders
Provide supervisors and managers with provider identification numbers for system entry
Conduct timely follow-ups on enrollment issues and maintain tracking spreadsheets to monitor progress
Update departmental logs and records to reflect the status of insurance credentialing and re-credentialing processes
Requirements:
Proficiency in using CRM systems to manage provider information and enrollment data
Familiarity with EHR systems for maintaining credentialing records
Strong understanding of compliance standards and regulations related to credentialing
Demonstrated experience in credentialing processes, including enrollment and re-credentialing
Ability to work collaboratively with payers, providers, and internal teams
Excellent organizational and tracking skills to manage documentation and timelines
Effective communication skills for interacting with providers and insurance representatives
Detail-oriented mindset to ensure accuracy in credentialing and enrollment tasks
What we offer:
medical, vision, dental, and life and disability insurance