Part-time Enrollment Coordinator

🔥 57 minutes ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏱ Part Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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Crossroads

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2005

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Crossroads is an outpatient treatment provider for people dealing with substance use disorders, specializing in medication-assisted treatment (MAT). They offer a comprehensive approach to recovery, including FDA-approved medications, peer support, care coordination, counseling, and contingency management, personalized to the unique needs of each patient. By providing convenient access to services through a 24/7/365 patient access center, virtual appointments, and their Instant Intake® service, Crossroads facilitates recovery journeys across multiple states, such as Georgia, Kentucky, New Jersey, North Carolina, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia. Dedicated to high-quality, evidence-based care, Crossroads supports their community with resources and partnership programs to ensure a compassionate and successful path to recovery.

📋 Description

• Receive notifications from the Clinician Onboarding Liaison (COL) • Work closely with the recruiting team during onboarding of new providers and provide weekly credentialing updates on enrollment status with payors • Obtain and maintain credentialing documents for new and existing providers, including expiring documentation • Provide information on providers for Credentialing Committee review and approval • Escalate provider credentialing and payor issues to the Director as needed • Track, generate, and prepare applications for providers • Conduct payer research and add providers to the Credentialing report • Review returned packets for accuracy and communicate updates to providers • Review weekly exception reports and prioritize critical issues • Follow up with providers regarding unreturned paperwork • Send updated credentials to payers and complete payer credentialing applications for new facility locations in multiple states • Research state requirements and create SOPs • Support new facility enrollment and individual location enrollment in new markets • Keep stakeholders informed of challenges in new markets • Manage provider employment withdrawals and notifications • Generate payer paperwork for revalidations and begin re-credentialing processes • Partner with COL, credentialing coordinators, and stakeholders to enroll providers and facilities with Medicaid, Medicare, commercial, and managed care plans • Meet with health plans to obtain provider statuses and address claims issues, including holds and denials • Work with payors to ensure timely enrollment and active status • Escalate trends and issues to RCM, operations, and other stakeholders • Maintain provider enrollment processes and credentialing databases/websites/portals including CAQH, NPPES, Navinet, Availity, and PECOS • Support the Provider Enrollment Department, assist the contracting department, and work with RCM on payer issues related to credentialing

🎯 Requirements

• Minimum of 2 years of successful work experience in physician credentialing and/or physician enrollment • Experience with provider credentialing databases/websites/portals (i.e.- CAQH, NPPES and PECOS) • Experience with Modio software preferred • Working knowledge of the revenue cycle process • Overtime may be required by Management • Expected hours are 20 hours per week

🏖️ Benefits

• Flexible schedule • Excellent training if you are new to this field • Mileage reimbursement (if applicable); Crossroads matches the current IRS mileage reimbursement rate • Calm subscription for all employees