What are the responsibilities and job description for the Credentialing and Enrollment Specialist (Remote) position at Visualutions, Inc.?
Job Description
Job Description
The Credentialing & Enrollment Specialist facilitates and manages the credentialing and enrollment process from start to finish. This role requires a variety of tasks such as enrolling new providers, maintaining CAQH profiles, auditing payer directories, and adhering to HIPAA guidelines. It also involves daily communication with different parties including payers, internal teams, and providers.
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 : Experience :
Skills :
Traits :
Schedule : Dayshift (remote based)