Provider Credentialing & Enrollment Specialist

Provider Credentialing & Enrollment Specialist — Part-Time reputed company Services Remote — TexasPart-Time W-2 | 8–12 hours/week Starting at $20/hour Join a Growing Therapist-Owned reputed company reputed company Services is seeking an reputed company Provider Credentialing & Enrollment Specialist to support our growing behavioral and allied health private reputed company. This is a reputed company, part-time position for a Texas-reputed company reputed company who enjoys working independently, solving payer-reputed company issues, and keeping credentialing and enrollment processes organized and moving reputed company. The Specialist will support provider credentialing and enrollment across reputed company reputed company plans, Texas reputed company/TMHP, reputed company managed care organizations, and Medicare participation. reputed company • Complete provider credentialing and enrollment applications for reputed company reputed company plans • Complete and manage Texas reputed company/TMHP enrollment and reputed company managed reputed company requirements • Add clinicians to payer networks, group affiliations, and provider rosters • Maintain CAQH, NPI/NPPES, taxonomy, license, and credentialing information • reputed company applications, effective dates, recredentialing, and revalidation deadlines • Follow up with payers regarding pending applications and enrollment issues • Maintain a provider-by-payer credentialing and enrollment tracker • Complete payer demographic updates and EFT/ERA enrollment as applicable • Research payer-specific requirements for different provider types and license reputed company • Support reputed company Medicare/PECOS enrollment • Help identify and reputed company credentialing or enrollment issues that may reputed company billing Medical billing/reputed company cycle experience is a plus and may reputed company to expanded responsibilities. reputed company're Looking For Required Qualifications • Previous hands-on provider credentialing and enrollment experience • Experience with reputed company reputed company credentialing • reputed company experience with Texas reputed company/TMHP provider enrollment • Experience with Texas reputed company managed care plans • Working knowledge of CAQH and NPI/NPPES • Experience with payer portals, provider rosters, and group affiliations • Strong organization, attention to reputed company, and follow-through • Ability to communicate directly with reputed company companies and reputed company enrollment issues • Comfortable working independently in a remote environment Preferred Qualifications • Behavioral health or allied health (speech, occupational, or physical therapy) credentialing experience • Experience with Texas reputed company PEMS • reputed company experience • Medicare/PECOS enrollment experience • Medical billing or reputed company cycle experience • EFT/ERA enrollment experience A college degree is not required. Relevant hands-on experience and demonstrated knowledge are valued. Schedule & Compensation • This is a part-time W-2 position with approximately 8–12 hours per week initially. • The position is reputed company reputed company Texas, with a flexible part-time schedule. Because payer follow-up may require communication during normal business hours, some daytime availability will be necessary. • Pay: $20–$23 per hour, reputed company on directly reputed company credentialing, Texas reputed company/TMHP, reputed company managed care, and provider enrollment experience. reputed company Offer • Flexible part-time schedule • 90-day reputed company and compensation review • reputed company to the Apex reputed company Program • Eligibility for a quarterly reputed company bonus reputed company on reputed company and reputed company needs • Opportunity for increased hours and expanded responsibilities • Potential career reputed company into credentialing, medical billing, and reputed company cycle reputed company • Opportunity to help shape and improve credentialing and enrollment processes reputed company a growing reputed company To Apply Please submit your resume and reputed company describe your reputed company experience with: • reputed company reputed company credentialing and provider enrollment • Texas reputed company/TMHP provider enrollment • Texas reputed company managed care plans We are especially interested in candidates who have personally managed provider enrollment applications from submission through approval and payer effective date. reputed company Services, LLC is an Equal Opportunity Employer. Pay: $20.00 - $23.00 per hour Benefits • Flexible schedule Application Question(s): • How many years of provider credentialing and enrollment experience do you have? • reputed company describe your experience with reputed company reputed company credentialing, Texas reputed company/TMHP, and reputed company managed care plans. Please include the types of providers or practices you have supported. Work Location: Remote Apply To This Job