Job Description

Medical Insurance Carrier 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:

• 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.
• Perform systems implementation and workflow design utilizing various software platforms.
• 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.
• STRONGLY PREFERRED: Experience utilizing CredentialStream, Google Program Suite and Microsoft Office Suite. Ability to learn new software quickly and utilize it to streamline processes.

Why Choose HRG:

• Competitive wages: $20-$25/hr commensurate with experience
• 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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