Enrollment Specialist, Part-Time

Candidate Responsibilities

• Review and update delegated credentialing rosters on a monthly basis 
• Complete enrollment applications as needed and coordinate with internal providers to gather required documentation 
• Complete outreach to licensing bodies and push forward application review 
• Ensure CAQH remains updated with accurate information for each of our active providers 
• Support Athena provider set up and maintenance & credentialing and enrollment tasks
• Support other responsibilities and functions of the Credentialing & Enrollment department as needed

Valued Characteristics and skills include: 

• Independent, Self-starter 
• Tech Savvy
• Organized
• Critical thinking/problem solving skills
• Expertise/experience with payer enrollments in various markets
• Experience communicating with payers and troubleshooting barriers to enrollment, reimbursement, etc. 
• Experience with a third party vendor completing elements of credentialing and enrollment (ideally: Verifiable/Salesforce knowledge) 
• Well versed with PECOS and Medicare enrollment 
• Experience applying and navigating CAQH, NPDB, and NCQA standards 
• NPPES NPI Registry knowledge
• Experience working within the Billing functions of the EHR Athena

You’ll be a good fit if you:

• At least 3 years of experience in healthcare credentialing and enrollment 
• Have experience serving on interdisciplinary teams and enjoy working in a collaborative environment
  • Ideally: SUD and Behavioral Health experience 
• Enjoy finding opportunities to improve, developing solutions, and communicating those opportunities to peers & leaders in an actionable and collaborative way
• Enjoy meeting new people and establishing mutually beneficial working relationships
• Have experience working in a startup environment, flexible, adaptable