Offer summary

Qualifications:

Bachelor's or associate degree from an accredited institution., Minimum of three years' experience in medical credentialing, with provider enrollment experience preferred., Strong organizational, follow-up, and project management skills., Excellent communication skills and ability to work independently..

Key responsibilities:

Manage provider enrollments, re-credentialing, and new contract applications with health plans.

Monitor application progress and follow up to ensure timely completion.

Communicate with clients and internal teams about the contracting and enrollment process.

Perform CAQH maintenance and handle clearinghouse setup and enrollments.

Job description

Medical Insurance Carrier 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:

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.
Perform systems implementation and workflow design utilizing various software platforms.
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.
STRONGLY PREFERRED: Experience utilizing CredentialStream, Google Program Suite and Microsoft Office Suite. Ability to learn new software quickly and utilize it to streamline processes.

Why Choose HRG:

Competitive wages: $20-$25/hr commensurate with experience
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.

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