Insurance Credentialing/Provider Enrollment Specialist
Job Posting for Insurance Credentialing/Provider Enrollment Specialist at Healthcare Revenue Group
- Job Opportunity: Medical Insurance Credentialing and Provider Enrollment Specialist**
- 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
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