Credentialing & Provider Enrollment Specialist (Remote)

Job Description

Job Description

Credentialing & Provider Enrollment Specialist

(Remote)

Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24 / 7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal!

Main Responsibilities (may include but are not limited to) :

• Facilitate and complete submission of applications to enroll group and individual providers with Medicare, Medicaid, and commercial payers in multiple states ( including WA, OR, UT, ID )
• Ensure enrollment applications are submitted accurately and timely to payers
• Initiate follow up on submitted applications
• Respond timely to requests for additional information when prompted by the payers
• Responsible for updating our group and provider information both internally within our organization and externally with the payers
• Conduct audit verifications in CAQH profiles to ensure validity of data
• Maintain and organize all documents necessary for the enrollment process
• Utilize tracking system to maintain and organize provider records and submitted enrollment applications
• Identify trends to recurring issues or barriers with payers and communicate proactively to management
• Other duties as assigned

Skills required to succeed :

Compensation : $22.00-$29.00 DOE and location.

This position is classified as : Hourly, Non-Exempt ; Full-Time employment

Hours : Typical hours are Monday through Friday; 7 : 30am – 4 : 00pm PST, (occasional overtime depending on volume)

Benefits :

Medical / Dental / Orthodontic / Vison / RX – minimum 80% towards employee monthly premiums covered, dependent coverage available at employee’s expense

PTO accruals up to 132hrs your first year of employment based on FTE status

Website : www.unitedwoundhealing.com

We are a drug-free workplace. All offers of employment are contingent upon a successful drug screen and criminal background check. EEO.