Provider Network Specialist

5 days ago


Spring, Texas, United States Visualutions, Inc. Full time

Join our team at Visualutions, Inc. as a Credentialing and Enrollment Specialist 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 Overview

This is a full-time Dayshift (remote based) position that requires strong organizational skills and attention to detail. The successful candidate will be responsible for enrolling new providers, maintaining CAQH profiles, and adhering to HIPAA guidelines.

About the Job:

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

Qualifications:

We are looking for a candidate with 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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