Provider Enrollment Specialist (Credentialing) - Remote
- Complete timely and accurately initial enrollment applications, manage all application updates, revalidation, and re-credentialing for Medicare, Medicaid and private health insurance companies.
- Provide timely response to requests for information from federal, state, and local agencies, as well as private insurance companies regarding the Company’s licensing and credentialing obligations.
- Complete timely and accurate initial applications, manage all application updates, and renewal applications for city, county, state, local business, and/or DME/HME licensing agencies.
- Maintain, manage and distribute company Liability certifications, W9s and Accreditation certifications as requested and required to comply with all agreements.
- Maintain and manage company Surety Bonds, Secretary of State filings and various company specific documentation needed to complete applications.
- Maintain meticulous filing of all applications and provider communications for the company.
- Review, distribute and disposition all incoming list serve emails, provider communications.
- Provide detailed communication on the status of applications, company status of enrollment and projects.
- Other duties as assigned.
- Medicaid Provider Enrollment experience
- Ability to interact professionally and ethically with team members, all levels of management, government agencies, and commercial payer personal
- Ability to manage multiple tasks simultaneously in a fast-paced environment
- Ability to provide clear, concise oral and written communications
- Ability to quickly assess licensing and enrollment situations and respond appropriately
- Ability to handle special requests in a sensitive, professional manner
- Strong attention to detail and follow through skills
- Meticulous organization and filing skills
- Durable Medical Equipment (DME) Provider Enrollment experience
- Medicare enrollment experience (PECOS)
- 5+ years of facility enrollment experience or relevant credentialing experience
- Advanced Microsoft Office experience
- Experience maintaining Liability Insurance and or Surety Bonds
- Ability to troubleshoot complex payor events.
- Variety of Medical, Dental and Vision Insurance Plans
- 401k Plan with Company Match
- PTO and Paid Holidays
- EAP
- Employee Discounts
- The Company’s health and welfare benefits include: medical, prescription, dental, vision, spending/savings accounts, disability, statutory leaves/disability programs, accident, life, wellbeing, and voluntary benefit programs.
- The Company’s 401(k) Retirement Savings Plan includes: vesting and eligible participants “safe harbor” matching contributions.
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