Credentialing & Provider Enrollment Specialist - Remote

Overview

The Credentialing & Provider Enrollment Specialist evaluates, analyzes, and coordinates all aspects of the credentialing and recredentialing processes of clinical providers with participating health insurance plans.

In Short

• Full-Time position, fully remote.
• Starting salary at $22/hour.
• Enroll with health plans and complete enrollment applications.
• Maintain data accuracy in credentialing database.
• Prepare and track verifications for provider applications.
• Monitor files for compliance with quality standards.
• Communicate with providers and medical staff leadership.
• Maintain accurate records of provider data.
• Adapt to changes in regulations and industry trends.

Requirements

• Bachelor’s degree in healthcare administration or related field (preferred).
• Minimum of 2 years of experience in credentialing.
• Strong knowledge of Federally qualified health centers and Community Health Centers.
• Ability to collaborate with cross-functional teams.
• Detail-oriented with a high level of accuracy.
• Proficient in Microsoft Excel, Word, and Outlook.
• Adaptability to changes in regulations and technologies.

Benefits

• Opportunity to work in a leading revenue cycle management company.
• Remote work flexibility.