Responsibilities
- Enroll newly affiliated providers into all applicable commercial insurance plans based on their market.
- Secure provider enrollment in both Medicare and Medicaid programs.
- Input the 'add to roster' date into the CredentialStream system.
- Record the 'submitted' and 'mailed' dates in CredentialStream for tracking purposes.
- Enter the 'effective' date in CredentialStream upon approval.
- Verify provider record details, including taxonomy and specialty codes, before application submission.
- Follow up with insurance carriers 30 days after submission and every two weeks thereafter until providers attain PAR status.
- Escalate unresolved enrollment issues to the manager for resolution.
- Coordinate consistently with the credentialing team to communicate onboarding timelines for new providers.
- Participate in revenue cycle management and payer-related meetings as required.
- Perform additional tasks as assigned by leadership.
Benefits
- Eligible for an annual bonus with a target of 10% of salary
- Comprehensive medical, dental, vision, life, and pet insurance options
- 401(k) retirement savings plan
- Paid time off
- Access to various wellness programs
Compensation
Eligible for an annual bonus targeted at 10%
Work Arrangement
Remote employees may receive internet cost reimbursement
Team
Collaborates with credentialing team and attends RCM and payer meetings as needed
Other
- All personal information will be handled confidentially in accordance with EEO regulations.
- Contact your internet service provider directly for connectivity concerns.
- Remote employees may receive reimbursement for internet expenses.
- The organization supports an inclusive culture where individuals are encouraged to be authentic at work.
- Applicants are welcome regardless of age, color, national origin, physical or mental disability, race, religion, gender, sex, gender identity or expression, marital status, veteran status, or other legally protected characteristics.
