Provider Enrollment Specialist

Job not on LinkedIn

🔥 19 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $24 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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ASPEN DENTAL GROUP, PC

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 1998

⚕️ Healthcare Insurance

Healthcare Insurance

Aspen Dental Group, PC is a dental care organization dedicated to providing comprehensive dental services to patients while supporting dental professionals in their careers. The company emphasizes the importance of bringing better care to more people by investing in employee success through training, support, and a proven practice model. Aspen Dental's approach includes offering industry-leading pay, tuition reimbursement, and opportunities for career advancement, with a commitment to diversity and community impact. With over 25 years of experience, Aspen Dental also contributes to charitable efforts by donating free dental care and focuses on providing a collaborative and inclusive workplace.

📋 Description

• Prepare, submit and track payer enrollment applications for new providers and existing provider changes. • Maintain accurate records of all enrollment activities in the credentialing system. • Communicate with insurance companies, healthcare providers and internal departments to ensure applications are processed efficiently. • Monitor enrollment status and follow up with payers to resolve delays or issues. • Update provider demographic and practice information with all contract payers as needed. • Ensure recredentialing timelines and requirements are maintained so providers enrollment status remains intact with no lapses. • Work closely with Field Support, Operations, Revenue Cycle Management (RCM) team to resolve any escalated enrollment or credentialing issues in a timely manner. • Research and resolve out of network claims issues by investigating provider participation status and effective dates of enrollment. • Coordinate temporary provider enrollments and ensure all necessary documentation, linkage and payer updates are completed. • Collaborate closely with RCM on status of provider enrollments including providing reports submission as needed. • Generate and maintain enrollment status reports. • Support audits, and other duties as assigned.

🎯 Requirements

• High school diploma or equivalent required, associate or Bachelor’s degree preferred. • 1- 3 years of experience in payor enrollment. • Working knowledge of commercial payors and government payor requirements. • Proficient in Microsoft office and credentialing software including but not limited to CAQH, Availity. • Strong attention to detail, organization and follow up skills. • Excellent communication and customer service abilities interacting with internal teammates and external clients. • Detail oriented, with strong level of analytical and problem-solving skills.

🏖️ Benefits

• paid time off • health • dental • vision • 401(k) savings plan with match