Enrollment Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $23 - $47 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

OCHIN, Inc.

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2000

💼 Consulting

🏥 Healthcare

🤝 Non-profit

Consulting • Healthcare • Non-profit

OCHIN, Inc. is a nonprofit health IT consultancy that partners with rural and community care organizations across the United States to advance equitable, whole-person care. For more than 25 years it has provided access to a shared EHR platform and integrated knowledge solutions, and it delivers Health IT, workforce training, operational/financial consulting, research, and advocacy to improve clinical quality, clinician well‑being, and sustainability for its national network of community health providers.

📋 Description

• Perform all aspects of payor enrollment processes for providers under the OCHIN Collaborative or contracted third parties • Manage credentialing applications, verify credentials, and maintain provider files internally and externally with payor plans • Process initial credentialing and recredentialing applications in accordance with regulatory requirements • Review and analyze credentialing applications and supporting documents for accuracy and completeness • Validate and verify provider credentials, including licensure, DEA, specialty board, certificates, professional liability, and other required documents • Identify discrepancies, conduct research and follow-up, and escalate unresolved issues • Complete payor provider enrollment processes and perform revalidations • Maintain CAQH profiles and NPPES registrations • Maintain provider data with payers and manage plan enrollment status in the credentialing system • Support OCHIN business requirements through travel for Go-Live installations or training

🎯 Requirements

• Minimum of three (3) years of progressive experience in Provider Enrollment; 5+ years preferred • In-depth knowledge of Provider enrollment standards (HRSA, FTCA, TJC, NCQA, etc.) preferred • Certified Provider Credentialing Specialist (CPCS) may be required or strongly preferred; must be NAMSS, not AAPC • Proficiency in credentialing software and data management systems preferred • Experience with New York payers preferred • Experience in MD-Staff preferred • Advanced proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, etc.) preferred • Working knowledge of Smartsheet, including data structure, formula creation, basic workflows and automation preferred • Proven experience in client-facing roles, with ability to build strong relationships and communicate effectively with diverse stakeholders preferred • Familiarity with Jira for issue tracking and task management preferred • Ability to work independently and efficiently from a home office environment • High Speed Internet Service • Ability to work in a distraction-free workplace • Reading, speaking, writing, and understanding English • COVID-19 vaccination or approved medical/religious exemption required as a condition of employment • Completion of a 50–60-minute competency assessment before team interview

🏖️ Benefits

• Generous compensation package • Healthy work-life balance • Professional advancement opportunities • Comprehensive range of benefits • Remote work from home • COVID-19 vaccination coverage with medical or religious exemption process