Healthcare Enrollment Manager
3 weeks ago
We are seeking a highly skilled Credentialing and Enrollment Specialist to join our team at Visualutions, Inc. as a full-time Dayshift (remote based) role. As a key member of our team, you will play a vital role in ensuring seamless healthcare delivery by facilitating the credentialing and enrollment process.
Job DescriptionThis is a dynamic opportunity to work with a talented team and make a meaningful impact in the healthcare industry. The successful candidate will be responsible for enrolling new providers, maintaining CAQH profiles, and adhering to HIPAA guidelines.
About the Role:
The Credentialing and Enrollment Specialist will work closely with payers, internal teams, and providers to ensure timely application processing and follow-up. Key responsibilities include updating provider information in databases, managing CAQH profiles, and collaborating with teams and customers.
Key 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
Requirements:
To be successful in this role, you will need 2-4 years of experience in credentialing, preferably in the healthcare sector. Customer Service and Revenue Cycle Management experience is also highly desirable. Proficiency in CAQH, NPPES, and PECOS is required.
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
Salary Range: $55,000 - $65,000 per year, depending on experience.
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