Insurance Credentialing/Provider Enrollment Specialist

Healthcare Revenue Group
Overland Park, KS Full Time
POSTED ON 6/2/2024 CLOSED ON 6/30/2024

What are the responsibilities and job description for the Insurance Credentialing/Provider Enrollment Specialist position at Healthcare Revenue Group?

  • Job Opportunity: Medical Insurance Credentialing and Provider Enrollment Specialist**

Are you an experienced Medical Insurance Credentialing and Provider Enrollment Specialist seeking a professional and rewarding opportunity? Join Healthcare Revenue Group (HRG), a thriving medical billing and credentialing company located in Overland Park, KS, as we expand our contracting and credentialing team.

  • Responsibilities:**
  • Perform and manage enrollments, re-credentialing, and execute new contract applications with commercial and government health plans on behalf of our diverse client base
  • Monitor application progress and proactively follow up as required to ensure timely completion
  • Possess comprehensive knowledge of managed care company and plan requirements for efficient credentialing of providers
  • Effectively communicate the contracting and enrollment process, addressing client staff inquiries and providing regular status updates to clients and internal stakeholders
  • Perform CAQH maintenance for providers, both new enrollments and ongoing updates
  • Handle clearinghouse set-up and enrollments
  • Maintain and secure insurance website and clearinghouse access credentials
  • This is a remote (work from home) position. Be self-motivated to accomplish tasks.
  • Qualifications:**
  • Demonstrated excellence in organization and follow-up skills
  • Strong project management abilities, capable of handling multiple applications and collaborating with payers to meet enrollment deadlines
  • Self-motivated and able to work independently while diligently monitoring progress
  • Exceptional customer service and communication skills
  • Proven track record of success and accomplishment
  • Profound understanding of managed care companies, plans, and managed care network concepts
  • Minimum of three years' experience in medical credentialing. Experience in Provider Enrollment strongly preferred
  • Why Choose HRG:**
  • Comprehensive benefits package
    • Health insurance
    • Dental insurance
    • Vision insurance
    • Short-term/long-term disability
    • 401(k) with company match
    • 3 weeks PTO
  • Opportunity for client support teams to interact with senior company and client management
  • Potential for impactful responsibilities and career advancement
  • Job autonomy with a focus on professional growth
  • Enjoy a collaborative and friendly team environment
  • HRG promotes diversity and inclusivity, offering equal employment opportunities regardless of race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status

If you are seeking a professional and fulfilling career opportunity in medical insurance credentialing, HRG is the place for you! Apply now to become a valuable part of our esteemed team.

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Salary : $20 - $26

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