Healthcare Enrollment Specialist

1 week ago


Gillette, Wyoming, United States Hydro Recruiting Full time
Compelling Opportunity in Healthcare Administration

A captivating role has emerged at Hydro Recruiting for a dedicated professional to assume the position of Healthcare Enrollment Specialist in Gillette, Wyoming. This esteemed organization is poised to revolutionize patient care by introducing cutting-edge healthcare services.

About Our Client:

Our client boasts an unparalleled reputation as a physician-owned health and wellness clinic situated in the picturesque town of Gillette, Wyoming. With a strong focus on community-driven healthcare, this clinic aims to address the evolving needs of patients by offering a wide range of specialized treatments and preventive services.

Mission and Philosophy:

The mission of our client revolves around fostering a holistic approach to health, leveraging advanced technology, promoting seamless team collaboration, and maintaining a manageable patient load to enhance interaction with healthcare professionals. As a stalwart advocate for comprehensive care, this esteemed organization prioritizes elevating patient lives through integrated services.

Job Summary:

As a key figure in our client's administrative team, you will play a pivotal role in ensuring that healthcare providers are accurately registered with insurance bodies and comply with regulatory standards. Your meticulous attention to detail, organizational prowess, and exceptional communication skills will be instrumental in navigating the intricate processes surrounding provider enrollment and credentialing.

Key Responsibilities:

  • Prominent oversight of the full cycle of provider enrollment and credentialing
  • Careful collection and processing of necessary documentation from providers for enrollment purposes
  • Submission and monitoring of applications to insurance bodies and regulatory agencies
  • Maintenance of updated records of provider credentials and compliance status
  • Thorough adherence to all relevant healthcare regulations and standards
  • Strategic coordination with internal teams to streamline the credentialing process
  • Sustained awareness of regulatory changes affecting credentialing requirements
  • Regular generation of reports for management on credentialing statuses
  • Support for audit preparations and management of provider privileges

Qualifications:

  • Bachelor's degree in Healthcare Administration, Business Administration, or related field (Preferred)
  • Certifications such as Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Medical Services Management (CPMSM) from NAMSS (Preferred)
  • Significant experience in healthcare administration, credentialing, and privileging (Required)

Experience:

  • Proven background in credentialing and provider enrollment (Required)
  • Familiarity with major healthcare insurers and compliance with healthcare laws
  • Experience with credentialing software is a plus

Salary: $30,000 - $50,000 per year, depending on qualifications and experience



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