Insurance Credentialing Provider Enrollment Specialist

Overland Park, KS

Full Time

Medical Insurance Credentialing Specialist

Mid Level

Job Opportunity: Medical Insurance 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:

This is an ON-SITE position
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.
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.

Why Choose HRG:

Competitive wages: $20-$25/hr commensurate with experience
Half day remote Friday option (after 90 days, work 4 9 hour days in office, then a half day Friday from home)
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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How many years of experience do you have in medical insurance credentialing and provider enrollment? Please provide specific examples of the types of health plans you have worked with in the past.*

Describe your approach to managing multiple credentialing applications simultaneously. How do you ensure timely completion and follow-up with payers to meet enrollment deadlines?*

Communication is crucial in this role. How would you handle explaining the credentialing process and related information to client staff effectively? Give an example of a challenging communication situation you encountered and how you resolved it.*

CAQH maintenance is a critical aspect of provider enrollment. How familiar are you with this process, and what steps do you take to keep provider information up-to-date and compliant?*

The job description mentions a professional and friendly team environment. How do you contribute to a positive team dynamic, and how do you handle collaboration with colleagues to achieve shared goals effectively?*

Have you worked for Healthcare Revenue Group before?*

We're excited to learn more about you! As a part of our application process, we require candidates to record a short video explaining why you've decided to apply for this position. PLEASE NOTE: YOU MUST SUBMIT A VIDEO OR YOU WILL NOT BE CONSIDERED. File types supported include .asf, .mov, .mp4, .mpeg, .mpg, .wav, .wmv

In your video, please address the following points:

1. Introduce yourself and give a brief overview of your background and experience relevant to provider enrollment (provider side).
2. Explain why you wish to pursue a position in medical credentialing.
3. Discuss your long-term career goals and how you see this position fitting into your overall career path.

Feel free to be authentic and let your personality shine through. Please keep the video between 1-3 minutes. Thank you in advance for taking the time to complete this crucial step.

PLEASE EMAIL THIS VIDEO TO [email protected]

Do you acknowledge that we will be unable to view your application until a video is received?*

Please provide a brief summary of your experience enrolling medical providers (on the provider side) in payor contracts and the process you undertake.*

Desired salary*

From what accredited institution did you graduate and when?*

Human Check*

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Insurance Credentialing Provider Enrollment Specialist

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