FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in provider enrollment and credentialing processes, with strong organizational skills and attention to detail. Proficient in managing payer relationships and navigating medical billing and collections within a healthcare revenue cycle setting.
Highest-signal resume keywords
Provider Enrollment ManagementCredentialing Process CoordinationMedical Billing KnowledgeMicrosoft Office ProficiencyOral And Written Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider EnrollmentCredentialingMedical BillingPayer Re-CredentialingCPT Coding KnowledgeDatabase ManagementEnrollment Application SubmissionAttention To DetailManual DexterityComputer Literacy
Soft Skills
Organizational SkillsCustomer ServiceAccountabilityIndependent WorkCommunication Skills
Tools & Technologies
EpicCAQHPayer PortalsEnrollment Database
Industry Keywords
Healthcare Revenue CycleGovernment PayersCommercial PayersEnrollment Progress NotesClaim Denial Trends
About the role
Key responsibilities & impact- Provide ongoing support and coordination as a liaison between Medical Staff, Medical Directors, and Administration
- Direct the ongoing credentialing and privileging process and related administrative functions
- Participate in enrollment progress update meetings and provide status information to stakeholders
- Maintain detailed enrollment progress notes in the provider enrollment database and distribute information to designated representatives and credentialing administrators
- Complete payer re-credentialing, demographic, roster, Medicaid, facility, medical group, and individual enrollment requests
- Address Epic hold and denial work queues and communicate issues and trends to leadership
- Collaborate with Accounts Receivable to identify claim denial trends and with Coding to identify CPT and payer-type denial trends
- Coordinate provider enrollment with commercial, Medicare, and Medicaid payer contracts for an entire market
- Manage provider enrollment, re-enrollment, and expirables
- Enter current expirables, practice/billing locations, and other information into the payer enrollment database
- Review, complete, and submit enrollment applications through payer portals or other methods
- Follow up with payers by phone, website, or email regarding network participation and application status
- Assist providers and client personnel with applications and resolve enrollment issues
- Facilitate CAQH application completion, setup, and re-attestations
- Submit provider change and termination requests to health plans and communicate updates to payers and internal stakeholders
- Execute large enrollment provider/payer projects and support clinic acquisitions
- Collaborate with Recruitment on provider onboarding and off-boarding
Requirements
What you’ll need- High School Diploma or Equivalent
- One year experience in a healthcare revenue cycle setting
- Computer literacy
- Microsoft Office
- Oral and written communication
- Organizational skills
- Attention to detail
- Accountability/ability to work independently
- Customer service
- Knowledge of medical billing and collections
- Medical terminology
- Frequent computer use and manual dexterity
- Ability to see and read information, documents, and monitors
- Preferred: one year of experience working with government and/or commercial payers in a revenue service setting
- Preferred: demonstrated knowledge of medical billing database work queues
- Preferred: previous work experience with provider enrollment and/or credentialing
Benefits
Comp & perks- Generous benefits package covering programs for wellness, living healthy, happy, secure, connected, and engaged
- Remote work expectations and use of company equipment