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Provider Enrollment Specialist - Remote


PayCompetitive
LocationBrentwood/Tennessee
Employment typeFull-Time

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  • Job Description

      Req#: 7410-7827
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Opportunity for career advancement and growth within the organization
      - Comprehensive benefits package including 401k, medical, dental, vision, and tuition reimbursement
      - Flexible PTO and generous Employee Illness Benefit (EIB)
      - Supportive and collaborative work environment focused on community health
      - Chance to play a key role in minimizing claim delays and enhancing provider enrollment processes

      What to Expect (Job Responsibilities):
      - Complete the Council for Affordable Quality Healthcare, Inc. (CAQH) credentialing process for new providers
      - Follow up with payers for effective dates, status updates, and identification numbers related to provider payments and claims
      - Manage applications, re-credentialing applications, and demographic updates for each payer
      - Research payer processes for provider enrollment and maintain updated provider information in the CAQH database
      - Communicate updates and resolve enrollment questions raised by market representatives and providers

      What is Required (Qualifications):
      - High school diploma or equivalent, or combination of education and experience
      - Minimum of 2 years of experience in Insurance Payer Background and/or Enrollment
      - Strong attention to detail and organizational skills
      - Ability to maintain regular and reliable attendance
      - Proficiency in handling administrative tasks related to provider enrollment

      How to Stand Out (Preferred Qualifications):
      - Experience with credentialing processes and healthcare provider enrollment
      - Familiarity with healthcare payer systems and processes
      - Strong communication skills to effectively interact with providers and market contacts
      - Ability to work independently and prioritize tasks efficiently

      #HealthcareServices #ProviderEnrollment #CareerOpportunity #EmployeeBenefits #CommunityHealth

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

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