Credentialing Specialist (Remote)

7 hours, 18 minutes ago
Full-time
Mid Level
Operations
Ennoble Care

Ennoble Care

Ennoble Care provides personalized at-home primary, palliative, and hospice care, ensuring that individuals receive compassionate support in the comfort of their own surroundings.

Health Care Providers & Services
51-250

Description

  • Prepare and submit provider enrollment applications, link letters, and group enrollment applications.
  • Follow up with payers on submitted applications and approval notices.
  • Manage timely provider and group revalidations.
  • Communicate with providers, internal teams, and payer representatives to resolve enrollment issues and confirm participation status.
  • Organize credentialing documentation, upload files to shared drives, and update Modio.
  • Track provider licenses and notify providers before expiration.
  • Complete and maintain provider CAQH profiles.
  • Identify enrollment issues that may result in lost revenue and communicate them to stakeholders.
  • Set up provider portals and maintain team access.
  • Participate in team meetings and complete assignments directed by the Revenue Cycle Director.

Requirements

  • At least 3 years of provider enrollment experience.
  • Knowledge of government and commercial payer enrollment processes and requirements.
  • Experience maintaining regulatory compliance with federal, state, local, and accrediting organization standards.
  • Experience with Modio Health preferred.
  • Proficiency in Microsoft Office applications.
  • Strong attention to detail, organization, multitasking, interpersonal, and customer service skills.
  • Ability to work effectively in a fast-paced, acquisitional environment.
  • Professional representation of the organization and adherence to ethical business practices.
  • Candidates must disclose any current or future need for employment-based immigration sponsorship before an offer is extended.

Benefits

  • Medical, dental, vision, life insurance, disability, flexible spending, accident, critical illness, and hospital indemnity benefits.
  • Paid time off, paid office holidays, and paid sick time.
  • 401(k) plan with up to a 3% company match.
  • Employee referral program.
  • Payactiv pay-on-demand program.

Interested in this position?

Apply directly on the company website

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