Credentialing and Enrollment Specialist (Remote) Job at Visualutions, Inc., Spring, Montgomery County, TX

V3NJWXpQTjJEUi9WM3pic0dnZWxlaThTQWc9PQ==
  • Visualutions, Inc.
  • Spring, Montgomery County, TX

Job Description

Job Description

Job Description

The Credentialing & Enrollment Specialist facilitates and manages the credentialing and enrollment process from start to finish. This role requires a variety of tasks such as enrolling new providers, maintaining CAQH profiles, auditing payer directories, and adhering to HIPAA guidelines. It also involves daily communication with different parties including payers, internal teams, and providers.

Responsibilities:

  • Enroll and revalidate providers with payers
  • Submit enrollment applications
  • Ensure timely application processing
  • follow up on application processing
  • Update provider information in databases
  • Manage CAQH profiles and facilitate re-attestations
  • Collaborate with teams and customers
  • Adhere to HIPAA guidelines
  • Audit and update payer directories
  • Verify enrollment status and instructions
  • Maintain provider information in databases
Qualifications:

Experience:

  • 2-4 years in credentialing
  • Healthcare sector experience
  • Customer Service and Revenue Cycle Management experience
  • Proficiency in CAQH, NPPES, and PECOS

Skills:

  • Task-oriented with strong attention to detail
  • Excellent in documentation and communication
  • Ability to prioritize, manage time, and work effectively both individually and in a team

Traits:

  • Persistent, unafraid to ask questions

Benefits:

  • 401(k)
  • 401(k) matching
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Disability insurance
  • Life insurance
  • Flexible spending account
  • Employee assistance program
  • Flexible schedule
  • Paid time-off

Schedule: Dayshift (remote based)

Job Tags

Flexible hours, Day shift,

Similar Jobs

Get It - Finance

Entry Level Insurance Agent Avg 75K-150K - Remote | WFH Job at Get It - Finance

 ...time opportunities, we offer flexible positions in both sales and insurance agency development. What We Are Looking For: Goal-...  ...looking to grow within the industry. Qualifications: Life and Health Insurance License or willingness to obtain one via an online... 

Adelphi Staffing

Anesthesiologist Job at Adelphi Staffing

Job Quick Facts: Specialty: Anesthesiology Job Type: Locum Tenens Facility Location: Gettysburg PA Service Setting: Inpatient Reason For Coverage: Supplemental Coverage Period: Dec 1 2024 May 31 2025 Coverage Type: Clinical Call Shift/Call Schedule...

Tupelo Public School District

Custodian Job at Tupelo Public School District

Classified - Classified Positions - Custodian Job Number 4600306155 Start Date Open Date 01/07/2025 Closing Date Revised 09.21 FLSA STATUS: Non-Exempt JOB TITLE: Custodian QUALIFICATIONS: 1. High School diploma preferred... 

RootLiquids

Entry Level Business Analyst Job at RootLiquids

 ...as applications catering to advanced mobile technology.Job DescriptionWe are seeking an enthusiastic and analytical Entry Level Business Analyst to join our dynamic team in Lavallette, United States. As a key member of our organization, you will play a crucial role... 

Carter Nicholson - State Farm Agent

Customer Service Representative - State Farm Agent Team Member Job at Carter Nicholson - State Farm Agent

 ...~401(k) matching ~ Bonus based on performance ~ Company parties...  ...~ Health insurance ~ Home office stipend ~ Paid time off...  ...DESCRIPTION: As a Customer Service Rep with Carter Nicholson State...  ...candidates. RESPONSIBILITIES: Answer customer inquiries and provide...