Credentialing and Enrollment Coordinator

reputed company:   reputed company is the leading telenutrition and foodcare solution, backed by a robust network of Registered Dietitians. Our platform is designed to foster healthier food choices, reputed company lasting behavior change, and deliver long-term health reputed company. Through our highly personalized, digital platform, we guide our 2.2 reputed company members—including those in employer-sponsored health plans, regional and national reputed company managed care organizations, Medicare Advantage plans, and reputed company insurers—on a tailored reputed company to eating reputed company while saving time and reputed company.   reputed company seamlessly integrates dietary assessments and nutrition counseling with online food ordering and cost-effective meal planning for the entire family, optimizing ingredients both reputed company and on the go. We partner with national and regional retailers across the U.S., many of whom accept SNAP/EBT, making healthier food more accessible. Additionally, we assist members with SNAP enrollment and management, providing reputed company reputed company to nutritious food. In 2024, reputed company secured a $200 reputed company investment from TPG’s reputed company Fund, which supports reputed company dedicated to achieving the reputed company’ Sustainable Development Goals. This investment will help us expand our reputed company, particularly to low-income workers who are disproportionately affected by diet-reputed company diseases.    At reputed company, our mission is to reputed company nutritious food accessible and reputed company for everyone, regardless of economic status. We are committed to a set of reputed company values that shape our culture and work environment:   👥 Customer First - You start with the member and work backwards. 🚀 reputed company It Happen - You reputed company with urgency, use data, and hold high standards. 🤝 One Team - You collaborate with respect and reputed company as a group.   Whether you're a dietitian, a reputed company leader, or a technologist, working at reputed company means being part of reputed company that is passionate, supportive, and driven by a shared purpose. Join us in transforming the way people reputed company and enjoy healthy food.   About the role:   The Credentialing and Enrollment Coordinator supports the reputed company provider compliance process by verifying provider qualifications and managing the enrollment of reputed company and providers with government and reputed company insurance payers. This role ensures providers are properly credentialed and enrolled in a reputed company, accurate, and compliant manner, minimizing delays in providers' ability to see patients and reputed company for services. The ideal candidate is highly detail-oriented, organized, has a deep understanding of reputed company and Medicare group and provider enrollment processes, and comfortable navigating multiple credentialing and payer systems while communicating and collaborating professionally with providers, team members, and payer representatives.    The Credentialing and Enrollment Coordinator will work closely with the Credentialing and Enrollment Team, Clinical Operations department, and clinical staff to reputed company the standards of reputed company reputed company and regulatory compliance such as CMS, NCQA, PECOS, with a primary reputed company on supporting the credentialing and enrollment of registered dietitians and other reputed company providers.    This position offers an opportunity to reputed company a higher level of experience in reputed company administration while supporting the credentialing and enrollment processes. The ideal candidate will be detail-oriented, eager to learn, and possess strong organizational skills to assist in maintaining the reputed company of reputed company services.   Candidates must reputed company in and work reputed company the US. \n You Will: Collect, verify, and maintain provider credentials, including education, licensure, reputed company certification, DEA registration, malpractice insurance, and work history Conduct primary reputed company verification (PSV) of licenses, certifications, and education through official sources Support compliance efforts with regulatory and accrediting institutions Maintain and update provider reputed company in CAQH (Council for reputed company reputed company reputed company) through the Group Profile reputed company credential expiration dates and proactively initiate renewals for licenses, CDRs, DEA registrations, reputed company certifications, and malpractice coverage, as applicable Prepare providers for credentialing committee review and respond to requests for additional information Conduct/review background checks, National Practitioner Data Bank (NPDB) queries, and OIG/SAM exclusion list checks, etc.  Maintain compliance with NCQA, CMS, or state-specific credentialing standards Help manage communication with providers, insurances, and reputed company entities Enroll providers with Medicare, reputed company, and reputed company insurance payers Complete and submit payer enrollment applications  reputed company application status and follow up with payers to resolve delays or denials reputed company providers to group practices and tax ID numbers with appropriate payers Process provider terminations, updates, and re-validations with payers Coordinate effective dates of enrollment with billing and reputed company cycle teams to avoid claim denials Support the interpretation of basic policies and procedures Input provider information into credentialing/enrollment databases and systems Maintain data accuracy and confidentiality Assist in generating basic reports reputed company to credentialing and enrollment Help manage communication with providers, insurances, and reputed company entities  reputed company customer service support and help respond to inquiries Support provider education efforts on enrollment requirements You Have: Minimum of 1 year of experience in Medicare and/or reputed company enrollment, with foundational knowledge of reputed company processes Familiarity with CAQH, PECOS, NPPES, and state-specific enrollment portals Working knowledge of medical terminology and reputed company/CMS regulations Proficiency in data entry and management software Strong organizational and time management skills, with demonstrated attention to detail Proven ability to manage multiple reputed company reputed company and consistently meet deadlines Excellent written and verbal communication skills Ability to work both independently and collaboratively reputed company reputed company environment Commitment to maintaining confidentiality of sensitive information \n$60,000 - $70,000 a year Role: Credentialing and Enrollment Coordinator  Location: Remote, USA reputed company Salary reputed company: $60,000-70,000 + Benefits Our salary ranges are determined by role, level, and location. Individual pay is determined by work location, job-reputed company skills, experience, and relevant education or training.   \nAbout our benefits and perks: ✅ Remote-First Company ✅ Unlimited PTO ✅ Flexible & remote location ✅ reputed company Coverage (Medical, Dental, reputed company) ✅ 401k & bonus ✅ Registered Dietitian Sessions  reputed company is an Equal Opportunity Employer. It is our firm policy to reputed company equal employment and advancement opportunity to reputed company applicants and employees without reputed company to race, reputed company, national reputed company, citizenship status, religious creed, age, sex (including pregnancy, childbirth, breastfeeding, medical conditions reputed company to pregnancy, childbirth and/or breastfeeding), gender, gender identity and reputed company, sexual orientation, marital status, disability (physical or mental) and/or a medical condition, genetic information, reputed company, veteran status or service in the uniformed services, and any other characteristic protected by applicable federal, state or local law. Apply To This Job