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Insurance Credentialing Provider Enrollment Specialist

unlimited holidays - extra holidays - extra parental leave - long remote period allowed
Remote: 
Full Remote
Contract: 
Salary: 
38 - 48K yearly
Work from: 
Kansas (USA), United States

Offer summary

Qualifications:

Bachelor or associate degree required, Minimum 3 years' experience in medical credentialing.

Key responsabilities:

  • Perform enrollments and re-credentialing for clients
  • Maintain insurance website access credentials and handle clearinghouse set-up
Healthcare Revenue Group logo
Healthcare Revenue Group SME
11 - 50 Employees
See more Healthcare Revenue Group offers

Job description

Job Opportunity: Medical Insurance Credentialing and Provider Enrollment Specialist

Are you an experienced Medical Insurance Credentialing and Provider Enrollment Specialist seeking a professional and rewarding opportunity? Join Healthcare Revenue Group (HRG), a thriving medical billing and credentialing company located in Overland Park, KS, as we expand our contracting and credentialing team. 

Responsibilities:

  • This is an ON-SITE position
  • Perform and manage enrollments, re-credentialing, and execute new contract applications with commercial and government health plans on behalf of our diverse client base.
  • Monitor application progress and proactively follow up as required to ensure timely completion.
  • Possess comprehensive knowledge of managed care company and plan requirements for efficient credentialing of providers.
  • Effectively communicate the contracting and enrollment process, addressing client staff inquiries and providing regular status updates to clients and internal stakeholders.
  • Perform CAQH maintenance for providers, both new enrollments and ongoing updates.
  • Handle clearinghouse set-up and enrollments.
  • Maintain and secure insurance website and clearinghouse access credentials.
  • This is a remote (work from home) position. Be self-motivated to accomplish tasks. 

Required Qualifications:

  • COMPLETED bachelor or associate degree from an accredited institution REQUIRED
  • Demonstrated excellence in organization and follow-up skills.
  • Strong project management abilities, capable of handling multiple applications and collaborating with payers to meet enrollment deadlines.
  • Self-motivated and able to work independently while diligently monitoring progress.
  • Exceptional customer service and communication skills.
  • Proven track record of success and accomplishment.
  • Profound understanding of managed care companies, plans, and managed care network concepts.
  • Minimum of three years' experience in medical credentialing. Experience in Provider Enrollment strongly preferred.

Why Choose HRG:

  • Competitive wages: $20-$25/hr commensurate with experience
  • Half day remote Friday option (after 90 days, work 4 9 hour days in office, then a half day Friday from home)
  • Comprehensive benefits package
    • Health insurance
    • Dental insurance
    • Vision insurance
    • Short-term/long-term disability
    • Life insurance
    • 401(k) with company match
    • 3 weeks PTO
  • Opportunity for client support teams to interact with senior company and client management.
  • Potential for impactful responsibilities and career advancement.
  • Job autonomy with a focus on professional growth.
  • Enjoy a collaborative and friendly team environment.
  • HRG promotes diversity and inclusivity, offering equal employment opportunities regardless of race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.

If you are seeking a professional and fulfilling career opportunity in medical insurance credentialing, HRG is the place for you! Apply now to become a valuable part of our esteemed team. 

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

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