Provider Enrollment Specialist
7 days ago
Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. Our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. We strive to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we combine best practices and industry excellence.
Job SummaryWe are seeking a highly organized and detail-oriented Provider Enrollment Coordinator to join our team. The successful candidate will be responsible for the enrollment of providers with various payers for professional services reimbursement. This role requires strong communication and analytical skills, as well as the ability to work independently with minimal supervision.
Key Responsibilities- Issue contracts to providers based on their statuses (1099, W2, locum) and monitor their status for timely completion.
- Collaborate with Human Resources to ensure provider inquiries are resolved in a timely and effective manner.
- Conduct provider onboarding and orientation to the practice.
- Communicate updated payer enrollment information including payer provider numbers to practice operations in a timely manner while fostering working relationships and teamwork with departments, vendors, etc.
- Support new provider onboarding processes as related to enrollment.
- Coordinate credentialing data needed for enrollment, including medical degree, DEA number, and state license number, board certifications, curriculum vitae, and liability insurance.
- Complete provider payer enrollment/credentialing and recredentialing with all identified payers in a timely manner.
- Resolve enrollment issues through collaboration with physicians, non-physicians, office staff, management, contracting, insurers, and others as identified.
- Explain and inform providers and practice/office managers of the submission requirements for credentialing and recredentialing processes.
- Ensure the importance of compliance with credentialing/recredentialing processes is expressed.
- Update on-site practice management and staff and of any changes to requirements for credentialing individual providers based on government and commercial payer credentialing processes.
- Communicate any changes regarding contracting as it relates to enrollment and operations proactively.
- Associate Degree or 2 years of experience in lieu of education.
- One (1) year of provider enrollment/credentialing experience.
- Knowledge and understanding of credentialing process.
- Ability to organize and prioritize work and manage multiple priorities.
- Excellent verbal and written communication skills, including letters, memos, and emails.
- Excellent attention to detail.
- Ability to research and analyze data.
- Ability to work independently with minimal supervision.
- Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
- Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.
- 3 Medical Plans
- 2 Dental Plans
- 2 Vision Plans
- Employee Assistant Program
- Short- and Long-Term Disability Insurance
- Accidental Death & Dismemberment Plan
- 401(k) with a 2-year vesting
- PTO + Holidays
Please visit our website for more information: www.pmr-healthcare.com
Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
-
Provider Enrollment Specialist
2 weeks ago
Houston, Texas, United States Premier Medical Resources Full timeJob SummaryPremier Medical Resources is a leading healthcare management company seeking a skilled Provider Enrollment Specialist to join our team. As a key member of our enrollment team, you will be responsible for ensuring the timely and accurate enrollment of medical providers with various payers.Key Responsibilities:Coordinate provider enrollment and...
-
Provider Enrollment Specialist
2 weeks ago
Houston, Texas, United States Premier Medical Resources Full timeProvider Enrollment Coordinator Job DescriptionPremier Medical Resources is a healthcare management company dedicated to delivering exceptional services. We are seeking a highly skilled Provider Enrollment Coordinator to join our team.The Provider Enrollment Coordinator will be responsible for the enrollment of providers with various payers for professional...
-
Enrollment Specialist
4 weeks ago
Houston, Texas, United States University Of St Thomas Full timeEnrollment Specialist Opportunity at University of St. ThomasWe are seeking a highly skilled Enrollment Specialist to join our team at the University of St. Thomas. As an Enrollment Specialist, you will play a critical role in supporting the Registrar's Office in meeting the needs of our campus community.Key Responsibilities:Process transcript and...
-
Credentialing and Enrollment Specialist
4 weeks ago
Houston, Texas, United States Privia Health LLC Full timeCredentialing and Enrollment SpecialistPrivia Health LLC is seeking a highly skilled Credentialing and Enrollment Specialist to join our team. As a key member of our organization, you will be responsible for ensuring the timely and accurate credentialing and enrollment of providers across our medical group.Key Responsibilities:Ensure compliance with all...
-
Benefits Enrollment Specialist
3 weeks ago
Houston, Texas, United States ALKEME INTERMEDIARY HOLDINGS LLC Full timeJob DescriptionAbout the Position:We are seeking a highly skilled Benefits Enrollment Specialist to join our team at ALKEME INTERMEDIARY HOLDINGS LLC. As a Benefits Enrollment Specialist, you will be responsible for enrolling employees in their benefits, including medical, dental, vision, and voluntary products.Key Responsibilities:Enroll employees in...
-
Credentialing and Enrollment Specialist
1 hour ago
Houston, Texas, United States Privia Health LLC Full timeJob Title: Credentialing and Enrollment SpecialistPrivia Health LLC is seeking a highly skilled Credentialing and Enrollment Specialist to join our team. As a Credentialing and Enrollment Specialist, you will be responsible for ensuring that all aspects of the credentialing, re-credentialing, and privileging processes are completed in a timely and accurate...
-
Benefits Enrollment Specialist
1 week ago
Houston, Texas, United States ALKEME Insurance Full timeAbout the Position:We are seeking a highly skilled Benefits Enrollment Specialist to join our team at ALKEME Insurance. As a Benefits Enroller, you will be responsible for taking inbound calls and making outbound calls for employees needing to enroll in their benefits.Key Responsibilities:Enroll employees in core benefits, including medical, dental, and...
-
Benefits Enrollment Specialist
3 weeks ago
Houston, Texas, United States ALKEME Insurance Full timeAbout the Position:We are seeking a highly skilled Benefits Enrollment Specialist to join our team at ALKEME Insurance. As a Benefits Enroller, you will be responsible for taking inbound calls and making outbound calls for employees needing to enroll in their benefits.Key Responsibilities:Enroll employees in core benefits, including medical, dental, and...
-
Credentialing and Enrollment Specialist
3 weeks ago
Houston, Texas, United States Privia Health LLC Full timeJob Title: Credentialing and Enrollment SpecialistThis is a hybrid role that requires working in the office on Tuesdays and Thursdays at 1200 Binz St Suite 1490 Houston TX. The remaining days are typically work from home but may be in office on occasion.Job Summary:The Credentialing and Enrollment Specialist is responsible for all aspects of the...
-
Enrollment Coordinator
4 days ago
Houston, Texas, United States University of St. Thomas - Houston Full timeEnrollment SpecialistJoin the University of St. Thomas - Houston team as an Enrollment Specialist in the Records and Transcripts Department of the Office of the Registrar. As a key member of our team, you will be responsible for managing student records and transcripts, ensuring accurate and timely processing of enrollment-related tasks.Key...
-
Benefits Enrollment Specialist
2 weeks ago
Houston, Texas, United States ALKEME Insurance Full timeAbout the Position:We are seeking a highly skilled Benefits Enrollment Specialist to join our team at ALKEME Insurance. As a Benefits Enroller, you will be responsible for taking inbound calls and making outbound calls for employees needing to enroll in their benefits.**Note:** This position is with ALKEME Insurance's Agency Partner, Clariben Group, based...
-
Enrollment Data Specialist
3 weeks ago
Houston, Texas, United States Team1Medical Full timeJob OverviewWe are seeking a highly skilled Enrollment Data Specialist to join our team at Team1Medical. As a key member of our staff, you will play a critical role in ensuring the accuracy and efficiency of our enrollment processes.Key ResponsibilitiesEligibility Determination: Determine member eligibility and process requests according to regulatory...
-
Credentialing and Enrollment Specialist
4 weeks ago
Houston, Texas, United States Privia Health LLC Full timeJob Title: Credentialing and Enrollment SpecialistPrivia Health LLC is seeking a highly skilled Credentialing and Enrollment Specialist to join our team in Houston, TX.About the Role:The Credentialing and Enrollment Specialist will be responsible for all aspects of credentialing, re-credentialing, and privileging processes for all launching providers in...
-
Credentialing and Enrollment Specialist
3 weeks ago
Houston, Texas, United States Privia Health LLC Full timeJob DescriptionThis is a hybrid role that requires working in the office on Tuesdays and Thursdays at our Houston, TX location. The remaining days are typically worked from home, but may be in the office on occasion.The Credentialing and Enrollment Specialist is responsible for all aspects of the credentialing, re-credentialing, and privileging processes for...
-
Enrollment Coordinator
2 hours ago
Houston, Texas, United States University Of St Thomas Full timeEnrollment Specialist - Records and Transcripts DepartmentOffice of the RegistrarThe University of St. Thomas seeks a skilled Enrollment Specialist to join its Office of the Registrar. This role will play a vital part in meeting the needs of the campus community by performing essential duties.Key ResponsibilitiesProcess transcript and enrollment/degree...
-
Enrollment Coordinator
2 weeks ago
Houston, Texas, United States University of St. Thomas - Houston Full timeEnrollment SpecialistAt the University of St. Thomas - Houston, we are seeking a highly organized and detail-oriented Enrollment Specialist to join our team.Key Responsibilities:Manage student records and transcripts in a secure and confidential manner.Collaborate with the Registrar's Office to ensure accurate and timely processing of student...
-
EDI Data Analyst
4 weeks ago
Houston, Texas, United States Professional Enrollment Concepts Full timeEDI Data Analyst Job DescriptionWe are seeking a highly skilled EDI Data Analyst to join our team at Professional Enrollment Concepts. As an EDI Data Analyst, you will be responsible for setting up and maintaining EDI file feeds between our systems and third-party benefits vendors.Key Responsibilities:Configure and test EDI file feeds to ensure accurate data...
-
Provider Credentialing Specialist
3 weeks ago
Houston, Texas, United States Privia Health LLC Full timeJob Title: Provider Credentialing SpecialistPrivia Health LLC is seeking a highly skilled Provider Credentialing Specialist to join our team. As a key member of our credentialing team, you will be responsible for ensuring the timely and accurate credentialing of healthcare providers across our network.Key Responsibilities:Ensure compliance with all relevant...
-
EDI Data Analyst
4 weeks ago
Houston, Texas, United States Professional Enrollment Concepts Full timeEDI Data Analyst Job DescriptionProfessional Enrollment Concepts (PEC) is seeking a skilled EDI Data Analyst to join our team. As an EDI Data Analyst, you will be responsible for setting up EDI file feeds between Selerix or Employee Navigator and third-party benefits vendors to ensure seamless enrollment and demographic information transmission.Key...
-
Enrollment Recruitment Specialist
4 days ago
Houston, Texas, United States Houston Christian University Full timeJob Title: Enrollment Recruitment CoordinatorDepartment: Marketing and AdmissionsReports to: Director, Graduate AdmissionsJob Summary:The Enrollment Recruitment Coordinator plays a pivotal role in developing and implementing effective recruitment strategies to attract high-quality undergraduate and graduate students to Houston Christian University. This...