Current jobs related to Provider Enrollment Specialist - Silver Spring, Maryland - Children's National Hospital

  • Advanced Practice Provider

    2 months ago

    Silver Spring, Maryland, United States Summit Health, Inc Full time

    {"title": "Clinical Care Specialist", "content": "About Our CompanyWe're a physician-led, patient-centric network dedicated to simplifying healthcare and bringing a more connected kind of care.Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes, and virtually through VillageMD and our...

  • Credentialing Specialist

    2 weeks ago

    Silver Spring, Maryland, United States Community Clinic Full time

    Credentialing Coordinator Job SummaryThe Credentialing Coordinator will be responsible for credentialing new and established healthcare providers, maintaining provider information, and ensuring compliance with regulatory guidelines.Key Responsibilities:Maintain provider database to ensure all healthcare providers are licensed and properly...

  • Credentialing Specialist

    4 weeks ago

    Silver Spring, Maryland, United States Community Clinic Inc. Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Credentialing Coordinator to join our team at Community Clinic Inc. The successful candidate will be responsible for ensuring that all healthcare providers are properly licensed and credentialed according to regulatory guidelines.Key ResponsibilitiesMaintain accurate and up-to-date provider...

  • Advanced Practice Provider

    4 weeks ago

    Silver Spring, Maryland, United States Summit Health Inc Full time

    {"About Our Company": "At Summit Health Inc, we're a physician-led, patient-centric network dedicated to simplifying healthcare and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes, and virtually through our operating companies. We're innovating...

  • Credentialing Specialist

    2 weeks ago

    Silver Spring, Maryland, United States CCI Health Services Full time

    Credentialing Coordinator Job SummaryThe Credentialing Coordinator will be responsible for ensuring that all healthcare providers are properly licensed and credentialed according to regulatory guidelines. This includes maintaining provider databases, processing initial and reappointment credentialing applications, and coordinating with medical staff...

  • Credentialing Specialist

    2 weeks ago

    Silver Spring, Maryland, United States Community Clinic Inc. Full time

    Job SummaryCommunity Clinic Inc. is seeking a skilled Credentialing Coordinator to join our team. As a Credentialing Coordinator, you will play a critical role in ensuring that our healthcare providers are properly licensed and credentialed.Key ResponsibilitiesMaintain accurate and up-to-date provider databases to ensure compliance with regulatory...

  • Pediatric Nurse Specialist

    7 days ago

    Silver Spring, Maryland, United States The Arc Montgomery County Full time

    Job Title: Pediatric Nurse SpecialistJob Summary: The Arc Montgomery County is seeking a skilled Pediatric Nurse Specialist to join our team at the Karasik Family, Infant & Child Care Center (KFICCC) program. As a Pediatric Nurse Specialist, you will be responsible for providing skilled nursing care to children with special health care needs, disabilities,...

  • Advanced Practice Provider

    1 month ago

    Silver Spring, Maryland, United States Summit Health Inc Full time

    About Our CompanyWe're a physician-led, patient-centric network dedicated to simplifying healthcare and delivering connected care.Our multispecialty and urgent care providers serve millions of patients through traditional practices, patients' homes, and virtually through our operating companies.When you join our team, you become part of a compassionate...

  • Credentialing Specialist

    4 weeks ago

    Silver Spring, Maryland, United States Community Clinic Inc. Full time

    Job Title: Credentialing CoordinatorCCI Health Services is seeking a highly organized and detail-oriented Credentialing Coordinator to join our team. As a Credentialing Coordinator, you will be responsible for credentialing new and established healthcare providers, maintaining provider databases, and ensuring compliance with regulatory guidelines.Key...

  • Advanced Practice Provider

    1 month ago

    Silver Spring, Maryland, United States Summit Health Inc Full time

    About Our CompanyWe're a physician-led, patient-centric network dedicated to simplifying healthcare and bringing a more connected kind of care.Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes, and virtually through our operating companies.When you join our team, you become part of a...

  • Advanced Practice Provider

    3 weeks ago

    Silver Spring, Maryland, United States Summit Health Inc Full time

    About Our CompanyWe're a physician-led, patient-centric network dedicated to simplifying healthcare and delivering connected care.Our multispecialty and urgent care providers serve millions of patients through traditional practices, patients' homes, and virtually through our operating companies.We're innovating value-based care and leveraging integrated...

  • Certified Healthcare Provider

    2 weeks ago

    Silver Spring, Maryland, United States Advanced Neighborhood Pediatrics Full time

    Job DescriptionAt Advanced Neighborhood Pediatrics, we are seeking a skilled Pediatric and Adult Healthcare Specialist to provide high-quality outpatient medical services to our patients.Responsibilities include: Conducting well and sick visits for pediatric and adult patients Administering vaccines and medications as prescribed Collecting blood samples and...

  • Renewable Energy Outreach Specialist

    1 week ago

    Silver Spring, Maryland, United States Maverick Marketing Full time

    Job DescriptionWe are seeking a highly motivated Renewable Energy Outreach Specialist to join our team at Maverick Marketing. As a key member of our team, you will be responsible for qualifying and enrolling potential prospects in our clean energy programs.The ideal candidate will have excellent communication skills, a strong desire to make a difference in...

  • Administrative Support Specialist

    2 weeks ago

    Silver Spring, Maryland, United States Montgomery County Language Minority Full time

    Job OverviewThe Administrative Assistant provides high-level administrative support to clinic processes related to Medicaid, Medicare, recruitment, onboarding, and other Human Resources duties. This role requires a high level of critical thinking and independent judgment.Key ResponsibilitiesPerform general office duties to assist in clinic...

  • Patient Care Coordinator

    2 weeks ago

    Silver Spring, Maryland, United States Mary's Center Full time

    Job SummaryWe are seeking a highly skilled Patient Care Navigator to join our team at Mary's Center. As a Patient Care Navigator, you will play a critical role in providing exceptional customer service to our patients and clients.Key ResponsibilitiesProvide a positive and efficient office environment by modeling professional performance and...

  • Administrative Support Specialist

    2 weeks ago

    Silver Spring, Maryland, United States Montgomery County Language Minority Full time

    Job OverviewWe are seeking a highly skilled and detail-oriented Administrative Assistant to join our team at Montgomery County Language Minority. The successful candidate will provide high-level administrative support to our clinic processes, ensuring seamless operations and exceptional patient care.Key ResponsibilitiesProvide administrative support to...

  • Call Center Representative

    3 weeks ago

    Silver Spring, Maryland, United States ARTHRITIS & RHEUMATISM ASSOCIATES P Full time

    Job Title: Call Center SpecialistJoin our team at ARTHRITIS & RHEUMATISM ASSOCIATES P as a Call Center Specialist. In this role, you will be responsible for providing exceptional customer service to patients and healthcare professionals.Job Summary:We are seeking a highly skilled and organized Call Center Specialist to join our team. As a Call Center...

  • Bakery Specialist

    4 weeks ago

    Silver Spring, Maryland, United States Giant Food Full time

    Job Title: Bakery SpecialistAt Giant Food, we're committed to providing our customers with the freshest, highest-quality baked goods. As a Bakery Specialist, you'll play a key role in making this happen.Job Summary:We're seeking a skilled and enthusiastic Bakery Specialist to join our team. As a Bakery Specialist, you'll be responsible for preparing and...

  • Nurse Specialist

    1 week ago

    Silver Spring, Maryland, United States APH Dependable Healthcare Full time

    Job Title: Nurse SpecialistAt APH Dependable Healthcare, we are seeking a skilled and compassionate Nurse Specialist to join our team. As a Nurse Specialist, you will provide high-quality nursing care to our clients in the comfort of their own homes.Job Summary:The Nurse Specialist will be responsible for conducting comprehensive health and psychosocial...

  • Call Center Representative

    1 month ago

    Silver Spring, Maryland, United States ARTHRITIS & RHEUMATISM ASSOCIATES P Full time

    Job SummaryWe are seeking a highly skilled Call Center Specialist to join our team at ARTHRITIS & RHEUMATISM ASSOCIATES P. As a key member of our call center, you will be responsible for providing exceptional customer service to our patients and clients.Key ResponsibilitiesAnswer incoming calls and provide timely and accurate information to patients and...

Provider Enrollment Specialist

2 months ago

Silver Spring, Maryland, United States Children's National Hospital Full time
Job Summary

We are seeking a highly organized and detail-oriented Provider Enrollment Specialist to join our team at Children's National Hospital. The successful candidate will be responsible for facilitating the enrollment process for new providers, ensuring timely and accurate completion of enrollment applications, and maintaining accurate records.

Key Responsibilities
  • Partner with Medical Staff Services to ensure capture of new onboarding providers and identify those eligible for enrollment.
  • Coordinate licensure activities with MSS and providers for licenses, controlled substance certificates, and DEA registrations.
  • Follow up on missing or delayed credentials and license documents within defined timelines.
  • Create and maintain accurate and detailed Excel rosters with required data to share, record, track, and follow up on enrollment activity.
  • Document and track submission of enrollment applications to ensure receipt by payers.
  • Research and resolve license, data, or NPPES registry problems related to denied or rejected applications.
Requirements
  • High School Diploma or GED (Required)
  • Associate's Degree (Preferred)
  • 3 years Experience in customer service in a healthcare setting, professional billing, or denial resolutions based on in-network and provider enrollment requirements (Required)
  • Superior ability to interface effectively with providers, provider leadership, internal departments, and external agencies.
  • Superior administrative skills, including strong organizational skills and the ability to multi-task.
  • Extreme attention to detail and ability to focus and perform without supervision.
  • Superior communication skills, both written and oral.
  • Internet and computer skills, including intermediate Excel and Word.
  • Knowledge of healthcare and professional provider services.
Preferred Qualifications
  • 3 years Experience in provider medical licensing and State and Federal enrollment processes and applications.
Organizational Commitment/Identification
  • Anticipate and respond to customer needs; follow up until needs are met.
  • Demonstrate collaborative and respectful behavior.
  • Partner with all team members to achieve goals.
  • Receptive to others' ideas and opinions.
  • Contribute to a positive work environment.
  • Demonstrate flexibility and willingness to change.
  • Identify opportunities to improve clinical and administrative processes.
  • Make appropriate decisions, using sound judgment.
  • Use resources efficiently.
  • Search for less costly ways of doing things.
  • Speak up when team members appear to exhibit unsafe behavior or performance.
  • Continuously validate and verify information needed for decision making or documentation.
  • Stop in the face of uncertainty and take time to resolve the situation.
  • Demonstrate accurate, clear, and timely verbal and written communication.
  • Actively promote safety for patients, families, visitors, and co-workers.
  • Attend carefully to important details - practicing Stop, Think, Act, and Review in order to self-check behavior and performance.