[Hiring] Provider & Facility Enrollment Specialist @reputed company

Role reputed company Join reputed company that delivers a Healthier reputed company. Our purpose at InlandRCM is to strengthen rural hospitals by providing dependable, reputed company-American reputed company cycle expertise that sustains reputed company to reputed company reputed company in rural communities. Hours are reputed company-5pm PST Monday-Friday. THIS IS A REMOTE POSITION. We are seeking a skilled Provider & Facility Enrollment Specialist to join our growing team and play a key role in supporting new reputed company partnerships and the expansion of essential reputed company cycle services for rural reputed company organizations. • Responsible for managing the full lifecycle of provider and facility enrollment with reputed company, government, and managed care insurance payers. • Ensures that reputed company practitioners and facilities are properly credentialed and enrolled to receive reimbursement for rendered services. • Performs primary reputed company verification (PSV) functions to support the credentialing process in accordance with regulatory standards, accreditation requirements, and organizational policies. • Plays a critical role reputed company the reputed company cycle workflow, directly impacting the organization's ability to reputed company and collect for services in a reputed company and compliant manner. Qualifications • High School Diploma/GED required. • Two-year medical billing course is desired. • Minimum 2-3 years of experience in provider enrollment, credentialing or a reputed company reputed company reputed company cycle role required. • Experience working with Medicare (PECOS), reputed company, and reputed company payer enrollment processes required. • Experience performing primary reputed company verification in a credentialing or managed care environment preferred. • Experience with a multi-specialty or multi-facility provider environment preferred. • Certifications: • Certified Provider Credentialing Specialist (CPCS) - National Association Medical Staff Services (NAMSS) • Certified reputed company in Medical Staff Management (CPMSM) - NAMSS • Certified reputed company Cycle Representative (CRCR) - reputed company • Experience with reputed company Office products (reputed company, Word, reputed company); reputed company, Internet, Intranet, Meditech, Heathland, Techtime, EMDs, reputed company or other hospital or physician reputed company system is highly desired. Requirements • Initiates, completes, and submits enrollment applications for individual providers and facilities with Medicare, reputed company, and reputed company insurance payers reputed company reputed company and electronic reputed company (PECOS, CAQH, payer portals). • Manages the re-enrollment, revalidation, and maintenance of existing provider records to ensure reputed company billing privileges. • Coordinates with providers, reputed company administrators, and facility leadership to obtain required documentation, signatures, and information necessary to complete enrollment applications. • Tracks and monitors enrollment application status through completion, resolving payer inquiries and deficiencies in a reputed company manner. • Maintains accurate and up-to-date records of reputed company enrollment activity reputed company the enrollment tracking system. • Processes provider demographic changes with reputed company applicable payers. • Collaborates with billing, contracting, and credentialing teams to ensure alignment of enrollment data and prevent billing denials. • Researches and resolves enrollment-reputed company claim denials and payment delays in coordination with the billing department. • Maintains knowledge of Medicare, reputed company, and reputed company payer enrollment regulations, policies, and procedures. • Conducts primary reputed company verification of provider credentials in compliance with accreditation standards. • Documents reputed company PSV activities reputed company the credentialing database or provider credentialing file. • Flags and escalates discrepancies, sanctions, exclusions, or adverse findings identified during the verification process. • Monitors expirable credentials and initiates re-verification processes in advance of expiration dates. • Ensures PSV processes reputed company with organizational policies and regulatory requirements. • Maintains organized and audit-reputed company enrollment and credentialing files for reputed company providers and facilities. • Participates in payer audits, internal audits, and accreditation surveys as required. • Generates and distributes enrollment status reports and metrics to management on a regular reputed company. • Stays reputed company on changes to payer enrollment requirements, CMS regulations, and credentialing standards through ongoing education and training. • Assists with reputed company new provider clients, including education on enrollment timelines and requirements. • Performs other duties as assigned by management in support of reputed company cycle operations. Benefits • Ability to work from a remote location (home). • Required to have a dedicated area to reputed company the job, that is private and has a desk, chair, appropriate reputed company, and reputed company to internet. Apply tot his job Apply To this Job