Provider Enrollment Associate

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Credential and enroll both new and existing healthcare providers while ensuring all necessary information is maintained.

• Engage with providers to clarify processes and secure signed applications.

• Gather, update, sustain, and verify provider details and documentation.

• Set up and uphold data entry within CAQH.

• Accurately and promptly prepare initial and re-credentialing provider enrollment applications.

• Confirm provider and group details with insurance companies, including addresses, contracted plans, and provider ID numbers.

• Coordinate information regarding enrollment and termination for providers.

• Manage enrollment processes with Medicare, Medicaid, and commercial insurance providers.

• Contribute to the enhancement of departmental processes and procedures.

• Address departmental client WQs and smart feeds as applicable.

• Oversee the provider enrollment mailbox and carry out follow-up actions.

• Safeguard and disclose patients’ PHI in accordance with HIPAA standards while adhering to information security policies.

⛳️ Requirements

• High School diploma or equivalent is mandatory.

• At least two years of experience in provider enrollment is required.

• Proficient in Microsoft Office Suite, including Outlook, Excel, and CAQH.

• Prior billing knowledge and experience is preferred.

• Exceptional verbal and written communication abilities.

• Strong interpersonal skills, problem-solving capabilities, and creativity.

• Capacity to exercise sound judgment and make decisions based on timely and accurate analyses.

• High integrity and dependability with a strong sense of urgency and results-driven attitude.

• Friendly and welcoming demeanor for customer service engagements.

• Must own a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.

• Ability to follow instructions, work collaboratively, manage stress, and fulfill the specified physical and mental responsibilities.

🏝️ Benefits

• Comprehensive health insurance options.

• Paid time off and holiday benefits.

• Opportunities for professional development and growth.

• Retirement savings plan with employer matching.