Provider Enrollment Specialist - Remote

Overview

The Provider Enrollment Specialist is responsible for preparing and submitting credentialing and re-credentialing applications and supporting documentation to enroll Behavioral Health Therapists and Clinicians with multiple payers, ensuring timely reimbursement.

In Short

• Work with a team to increase equitable access to healthcare.
• Manage provider enrollment applications for various insurance types.
• Track enrollment statuses in Salesforce HealthCloud.
• Ensure compliance with HIPAA standards.
• Coordinate with clinicians for necessary documentation.
• Respond to inquiries on enrollment and contract matters.
• Maintain timelines for enrollment schedules.
• Utilize credentialing software and navigate insurance portals.
• Self-motivated with strong time management skills.
• Competitive compensation and professional development opportunities.

Requirements

• 2+ years experience with credentialing software.
• 3-5 years credentialing experience with various providers.
• Proficient in Google Suite.
• Experience with Salesforce Health Cloud.
• Knowledge of Medicaid and commercial insurance.
• CPCS or CPMSM certification preferred.
• Associate Degree preferred.
• Ability to understand KPIs related to revenue.
• Excellent decision-making skills.
• Self-motivated and organized.

Benefits

• Market competitive salary.
• 401k match.
• Healthcare coverage.
• Paid time off.
• Stock options.
• Diverse and inclusive workplace.
• Opportunities for professional development.
• Flexible remote work environment.
• Supportive team culture.
• Commitment to equity in healthcare.