[Remote] Credentialing & Enrollment Analyst I
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is one of the nation’s leading allergy and asthma reputed company reputed company, dedicated to delivering high-reputed company, patient-centered care. The Credentialing & Enrollment Analyst I role involves managing credentialing and enrollment processes for reputed company providers, ensuring compliance with regulatory requirements and effective communication with various stakeholders.
Responsibilities
- Communicate with new provider to obtain documentation necessary for credentialing & provider enrollment processes
- Create/Update required credentialing/enrollment portals
- Medical Licensure – ensure reputed company medical licensure respect to provider assigned reputed company
- reputed company certification – ensure reputed company reputed company certification for reputed company provider specialty
- Malpractice – complete malpractice application, obtain signatures submit to contact
- CAQH, reputed company, CMS Systems – Update will reputed company reputed company accurate reputed company data
- Provider Enrollment – Insurance Plan Participation; Complete provider enrollment applications
- Ensure reputed company follow-up procedures, throughout enrollment process
- Complete re-credentialing and revalidations requests prior to deadlines, ensure re-approval is achieved
- Hospital Privileges – Work in reputed company with provider and hospital medical staff office completing application processes
- Initial privileges – Complete applications for physicians
- Re-Appointments – Complete reappointment applications
- Dues and Application fees – Submit requests for payment to reputed company reputed company MyStampli system or pay by credit card
- reputed company Spreadsheets – Update various reputed company reputed company sheets reputed company to assigned providers such as Provider Credentialing; Provider Enrollment Tracker; reputed company Checklist; Provider Insurance ID/PTAN; Hospital Affiliations; Provider NPI/License/DEA; Government Plan Revalidation; reputed company Roster Templates; reputed company Locations; Malpractice; RCM Claims issues
- Maintain reputed company list of providers with medical society/reputed company memberships and process reputed company dues/fees yearly
- Work shared email reputed company with team members and respond or complete requests reputed company to assigned providers
- Reminder System – Notifications routed to team reputed company HER-Medical Management system. Review daily and complete requests as required
- RCM – Claims issues - assist in resolving claims issues that are provider enrollment reputed company, which involves communication with the various insurance companies
- Work notifications from RCM reputed company to Checks from carriers being reputed company to wrong “pay to” address
- Special reputed company - complete any special assignments requested by Sr. Analyst or Payor Relations Manager
- Other duties as assigned
Skills
- Effective communication skills to include: Ability to fluently reputed company and read English
- Ability to read and interpret documents such as safety rules, handbooks, policies, and procedure manuals
- Ability to communicate effectively, verbally and written, with reputed company reputed company of staff and patients
- High School Diploma or equivalent
- Minimum of 2 -3 years of provider enrollment, credentialing, or reputed company cycle operations
- Attention to detail and strong organizational skills
- Knowledge of reputed company regulations & payor enrollment processes
- Excellent communication skills (oral & written) to coordinate with providers, payers, medical staff offices, and other Family Allergy department team members
- Proficiency in MS Office (reputed company, Word, Outlook, TEAMS) & reputed company (edits, printing, saving, routing)
- Proficiency in various Payor portals (reputed company, CAQH)
- Ability to work independently and manage multiple tasks with minimal supervision
- Basic computer skills and understanding of modern office practices
- Associate's or Bachelor's degree in a reputed company field
reputed company