Credentialing and Payor Enrollment Specialist

🔥 1 hour ago

🇺🇸 United States – Remote

💵 $19 - $23 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of Ensemble Health Partners

Ensemble Health Partners

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

💰 Private Equity Round on 2022-03

Healthcare Insurance • SaaS • Enterprise

Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their clients.

📋 Description

• Supports credentialing and enrollment processes to ensure all strategic partner providers are enrolled with insurance payors timely and efficiently. • Updates and maintains CAQH profiles to ensure data is accurate, attestations are current. • Maintains accurate provider records and makes edits to provider profiles. • Manages time-sensitive credentials and takes a proactive approach to license renewals. • Provides excellent customer service and escalates issues to leadership as needed.

🎯 Requirements

• 1 to 3 Years of Experience • Knowledge and understanding of Provider Enrollment, Chain, and Ownership System (PECOS) • Knowledge and understanding of State Medicaid Portals • Experience working with insurance enrollments, strongly preferred. • Intermediate proficiency level in Excel • High level of attention to detail with the ability to solve problems and function independently • Strong verbal and written communication skills

🏖️ Benefits

• Bonus Incentives • Paid Certifications • Tuition Reimbursement • Comprehensive Benefits • Career Advancement

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