Enrollment & Billing Representative jobs in Pittsburgh, PA

Are you passionate about helping mental health providers connect with patients in need? We are seeking a dedicated Provider Credentialing and Enrollment Specialist to join our team. In this role, you will be responsible for assisting mental health providers in becoming in-network with commercial, Medicaid, and Medicare insurances. Additionally, you will be responsible for claims follow-up in your spare time. This is a hybrid position, mostly via work from home. There may be instances where you have to come in office if additional training is necessary. You must have your own secure HIPAA compliant work space and computer.

Responsibilities:

• Manage the credentialing and enrollment process for mental health providers with commercial, Medicaid, and Medicare insurances.
• Ensure that all required documentation is completed accurately and submitted in a timely manner.
• Communicate with insurance companies to resolve any credentialing issues that may arise.
• Monitor the status of credentialing applications and provide regular updates to providers.
• Follow up on unpaid claims and denials to ensure timely and accurate reimbursement.
• Maintain accurate records of all credentialing and claims follow-up activities.

Qualifications:

• Experience with provider credentialing and enrollment with commercial, Medicaid, and Medicare insurances is required.
• Strong attention to detail and organizational skills.
• Excellent communication and interpersonal skills.
• Ability to work independently and prioritize tasks effectively.
• Experience with Tebra software is preferred.

If you are a motivated individual with a passion for helping mental health providers succeed, we want to hear from you! Apply now to join our team as a Provider Credentialing and Enrollment Specialist.

Job Types: Full-time, Part-time

Pay: $17.41 - $18.50 per hour

Expected hours: 20 – 40 per week

Work Location: Remote