Insurance Credentialing Provider Enrollment Specialist

Medical Insurance Carrier Credentialing and Provider Enrollment Specialist

Are you an experienced Medical Insurance Credentialing and Provider Enrollment Specialist seeking a professional and rewarding opportunity? Join Healthcare Revenue Group (HRG), a thriving medical billing and credentialing company located in Overland Park, KS, as we expand our contracting and credentialing team.

Responsibilities:

• Perform and manage enrollments, re-credentialing, and execute new contract applications with commercial and government health plans on behalf of our diverse client base
• Monitor application progress and proactively follow up as required to ensure timely completion
• Possess comprehensive knowledge of managed care company and plan requirements for efficient credentialing of providers
• Effectively communicate the contracting and enrollment process, addressing client staff inquiries and providing regular status updates to clients and internal stakeholders
• Perform CAQH maintenance for providers, both new enrollments and ongoing updates
• Handle clearinghouse set-up and enrollments
• Maintain and secure insurance website and clearinghouse access credentials
• Perform systems implementation and workflow design utilizing various software platforms
• This is a remote (work from home) position. Be self-motivated to accomplish tasks.
  
  

Required Qualifications:

• COMPLETED bachelor or associate degree from an accredited institution REQUIRED
• Demonstrated excellence in organization and follow-up skills
• Strong project management abilities, capable of handling multiple applications and collaborating with payers to meet enrollment deadlines
• Self-motivated and able to work independently while diligently monitoring progress
• Exceptional customer service and communication skills
• Proven track record of success and accomplishment
• Profound understanding of managed care companies, plans, and managed care network concepts
• Minimum of three years' experience in medical credentialing. Experience in Provider Enrollment strongly preferred
• STRONGLY PREFERRED: Experience utilizing CredentialStream, Google Program Suite and Microsoft Office Suite. Ability to learn new software quickly and utilize it to streamline processes
  
  

Why Choose HRG:

• Competitive wages: $20-$25/hr commensurate with experience
• Comprehensive benefits package
• Health insurance
• Dental insurance
• Vision insurance
• Short-term/long-term disability
• Life insurance
• 401(k) with company match
• 3 weeks PTO
• Opportunity for client support teams to interact with senior company and client management
• Potential for impactful responsibilities and career advancement
• Job autonomy with a focus on professional growth
• Enjoy a collaborative and friendly team environment
• HRG promotes diversity and inclusivity, offering equal employment opportunities regardless of race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status
  
  

If you are seeking a professional and fulfilling career opportunity in medical insurance credentialing, HRG is the place for you! Apply now to become a valuable part of our esteemed team.

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