Credentialing and Enrollment Specialist

Remote Opportunity 

Why Big Bend Hospice?

Hospice work is not a job – it’s a calling.

Caring for patients and their families at the end of life requires special people who have the spirit and commitment to provide compassionate care.

Big Bend Hospice has been the “Hometown Hospice” in the Florida Big Bend area since 1973. We are a non-profit whose mission is “we inspire hope by positively impacting the way our community experiences serious illness or grief one family at a time”

Big Bend Hospice strives to be the employer of choice and is committed to providing the education, tools, and work environment to allow employees to perform at their best. For more information about Big Bend Hospice, visit bigbendhospice.org, or visit us on Instagram, or Facebook.

Our Culture  

Our culture is cultivated using the following values:

• Integrity - We demonstrate integrity in everything we do
• Accountability - We hold ourselves accountable to the highest standards
• Respect - We respect our patients and the families we serve, and we respect one another
• Stewards - We are good stewards of our resources
• Innovation - We strive for increased knowledge and explore innovative ways to fulfill our mission
• Excellence - We are committed to excellence and helping each employee reach their highest potential

Are you ready to join the team?

To be successful in this role 

You must be detail-oriented, organized, and very familiar with healthcare and medical terminology. Enrollment and Credentialing are crucial to the revenue cycle and the lifeline of any health organization. You will be required to do a lot of research, good at documenting and following up with providers and payers. You will also need to understand the laws and regulations about credentialing in general.

• Demonstrate analytical and problem-solving skills.
• Ability to work effectively with staff, physicians, and external vendors.
• Ability to work independently with limited supervision.
• Excellent verbal and written communication skills.
• Excellent interpersonal, negotiation, and conflict-resolution skills.

Your Main Duties and Responsibilities

(Includes but, not limited to)

• Collaborate with management to plan and track group and individual provider credentialing.
• Connect with providers to gather needed information and facilitate the completion of credentialing.
• Monitor and track credentials and licensure.
• Prepare and submit credentialing and revalidate providers and groups with government and contracted payers.
• Work with the internal billing team to share approvals and work through denials and appeal processes.
• Follow up with payers to ensure timely application processing/provider enrollment. *
• Maintain contact logs documenting requests for credentialing information in designated systems.
• Meet or exceed all deadline requirements for provider communications, enrollments, and follow-ups.
• Report to management any unresolved issues or missing information that is creating a delay in processing.

Schedule: 8 am to 5 pm Monday – Friday

Required Skills and Education:

• Minimum of 2 years of credentialing/re-credentialing healthcare providers and facilities in accordance with guidelines of the National Committee for Quality Assurance and the Accreditation Association for Ambulatory Health Care.
• Knowledge of Medicare and Medicaid regulations.
• Experience in Managed Care Health plans is strongly preferred.
• Skilled computer applications such as MS Word, Excel, and Outlook.
• Strong organizational and time management skills.
• Strong analytical and problem-solving skills.
• Skilled in professional verbal, written, and email communications.

We Got the Perks

We are committed to taking care of our BBH team by providing competitive wages and a generous benefits package that includes:

• 216 hours of PTO annually and additional paid sick leave, usable after your first 90 days
• 9 paid holidays annually
• Medical, dental, vision, STD, LTD, FSA, EAP, life insurance, and supplemental life insurance
• Up to 5% 403B match after 1 year of employment
• Employee recognition programs
• PSLF (Public Service Loan Forgiveness) eligibility for most roles
• Professional growth and development opportunities

Join a Team that inspires hope!

Big Bend Hospice is an equal-opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals. We celebrate diversity without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, other protected characteristic.