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Enrollment Coordinator

Hybrid in Philadelphia, PA, US • Posted 1 hour ago • Updated 1 hour ago

Contract W2

2 Months

No Travel Required

Hybrid

$25 - $27/hr

Fitment

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Job Details

Skills

Enrollment
insurance verification
billing
provider relations
medical insurance
ECHO
NAVINET
CAQH
Insurance
Health Care

Summary

We are seeking a detail-oriented Provider Enrollment & Credentialing Specialist to manage healthcare provider enrollment, re-credentialing, and payer documentation processes. The ideal candidate will ensure provider applications and records are accurate, complete, and submitted on time while maintaining compliance with payer requirements.

Key Responsibilities & Qualifications:

2+ years of experience in provider enrollment, credentialing, insurance verification, billing, or provider relations.
Knowledge of Medicare and Medicaid policies and healthcare provider operations.
Experience with CAQH, NPPES, ECHO, and NAVINET preferred.
Proficiency with Microsoft Word, Excel, and PowerPoint.
Strong organizational, analytical, critical-thinking, and communication skills.
High School Diploma/GED required; Associate's Degree preferred.
Review and process provider enrollment and re-credentialing applications for accuracy and completeness.
Collect and verify licenses, certifications, credentials, and other required documentation.
Follow up with physicians and payers to obtain missing information and track application status.
Maintain accurate provider information, service locations, ownership details, and credentialing records.
Monitor credential/license expiration dates and ensure timely renewals and CAQH re-attestation.
Maintain provider information in CAQH, NPPES, ECHO, and NAVINET systems.
Communicate with payers to obtain provider participation effective dates and identification numbers.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 91099677
Position Id: 9090103
Posted 1 hour ago

Contact the job poster

Venkatesh Ergadindla

Recruiter @ Talent Groups

View Profile

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