CVO Specialist - Provider Enrollment Coordinator

About the Company

At Hardenbergh Group, we are stewards and protectors of healthcare organizations. We live and breathe patient safety, quality of care, risk management and compliance. We were founded in 1991 by Mary Hardenbergh in Detroit, Michigan. What started as a small, entrepreneurial company with a big vision has become the go-to resource for the interim staffing of MSPs, external peer review, and consulting for healthcare entities across the country. How? By never losing sight of who we serve and our passion for healthcare. In 2019, our growth continued with the acquisition of MDReview, the leading provider of external peer review services for hospitals and health systems nationwide. Together, we strengthen our collective ability to serve our clients’ needs by being able to offer a broad line of services, all with the goal of ensuring patient safety and quality of care. We believe we’re more than in the business of people. We’re in the practice of possibilities. We’re preparing for what’s next, sharing our knowledge and expertise, and engaging people who can deliver.

About the Role

The Hardenbergh Group is a national company providing credentialing services to the healthcare industry. We are currently seeking to fill a full-time position in our Credentialing Verification Organization (CVO). Our CVO team works with client physicians and other non-physician providers to coordinate the process of credentialing and contracting with insurance companies. Benefits include generous PTO, Medical, Dental, Vision, Disability, Life, HSA/FSA accounts, and 401(k) with employer match.

Responsibilities

• Oversee all payer credentialing matters for assigned clients
• Be responsible to your assigned clients for any needs related to payor credentialing for their practitioners
• Preparation of credentialing applications, letters, rosters and other communication with insurance networks
• Total project management of the credentialing services purchased by each assigned client
• Inbound telephone, text message, and web chat communication with clients to answer questions and provide support
• Inbound communications from insurance companies, and other healthcare organizations
• Outbound calls to insurance carriers to verify credentialing application progress and to expedite the credentialing process
• Data entry and document maintenance of physician/provider information
• Documenting interactions with insurance networks and clients in the internal software platform
• Coordinate work assignments among enrollment team assigned to the region
• Maintain relationships with insurance network contacts as well as clients

Required Skills and Qualifications

• 2 years in provider enrollment / payer credentialing with a solid understanding of the credentialing and contracting process
• Experience working with payor networks throughout the country including government health programs as well as commercial insurance networks
• Excellent telephone communication skills to interact with insurance companies, clients, staff, and prospects
• Ideal candidate must be self-motivated, capable of working independently to achieve production goals, and have attention to detail
• Able to work proficiently within multiple business applications including Microsoft Office, Adobe Acrobat, Salesforce.com, Microsoft Teams, Vonage softphone

Other Requirements:

• Qualified applicants must be authorized to work in the United States commit to perform all work in the United States
• Have a dedicated workspace in your residence that allows for privacy, minimal disruptions, and have adequate high-speed internet
• Work hours: Monday through Friday, hours flexible depending on employee time zone and client needs

The Hardenbergh Group provides equal employment opportunities to all employees and applicants for employment without regard to race, color, creed, ancestry, national origin, citizenship, sex or gender, gender identity or expression, sexual orientation, marital status, religion, age, disability, genetic information, service in the military, or any other characteristic protected by applicable federal, state, or local laws and ordinances.

Salary : $35,000 - $45,000