Credentialing and Enrollment Specialist Job at Hydro Recruiting, Wyoming, MI

SU95RXlvVGpkS1pGRXZuOUlTVU9ia1NqYWc9PQ==
  • Hydro Recruiting
  • Wyoming, MI

Job Description

Job Title: Credentialing and Enrollment Specialist

$10,000 Sign-on Bonus and $20,000 Relocation Assistance Available!

About Our Client: Our client operates a cutting-edge, physician-owned health and wellness clinic situated in the picturesque town of Gillette, Wyoming. Established to address the community's growing health needs, the clinic offers a wide range of healthcare services aimed at improving patient well-being.

Mission and Philosophy: The clinic is led by a team of physicians dedicated to resolving long-standing issues in healthcare delivery. They aim to enhance patient lives by offering integrated care encompassing specialized treatments and preventive services. The clinic emphasizes a holistic approach to health, integrating advanced technology, fostering team collaboration, and maintaining a manageable patient load to enhance interaction with healthcare professionals.

Position: Healthcare Administrator As a Healthcare Administrator focusing on Provider Enrollment and Credentialing, you will ensure that healthcare providers are accurately registered with insurance providers and comply with regulatory standards. You will handle the comprehensive management of the enrollment and credentialing processes and maintain detailed records.

Duties/Responsibilities:

  • Oversee the full cycle of provider enrollment and credentialing.
  • Collect and process necessary documentation from providers for enrollment.
  • Submit and monitor applications to insurance bodies and regulatory agencies.
  • Maintain updated records of provider credentials and compliance.
  • Ensure adherence to all relevant healthcare regulations and standards.
  • Coordinate with internal teams to streamline the credentialing process.
  • Keep abreast of regulatory changes affecting credentialing requirements.
  • Generate regular reports for management on credentialing statuses.
  • Support audit preparations and manage provider privileges.
  • Handle additional responsibilities as required.

Education/Certifications/Licenses:

  • Bachelor’s degree in Healthcare Administration, Business Administration, or related field (Preferred).
  • Certifications such as Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Medical Services Management (CPMSM) from NAMSS (Preferred).
  • Significant experience in healthcare administration, credentialing, and privileging (Required).

Experience:

  • Proven background in credentialing and provider enrollment (Required).
  • Familiarity with major healthcare insurers and compliance with healthcare laws.
  • Experience with credentialing software is a plus.

Required Skills/Abilities:

  • Excellent organizational and meticulous attention to detail.
  • Strong communication and interpersonal skills.
  • Proficient with Microsoft Office Suite and healthcare billing processes.
  • Ability to maintain confidentiality and adapt to changing regulations.
  • Team-oriented with a strong customer service focus.

Opportunities: Joining our client offers a unique opportunity to contribute to a high-quality healthcare service delivery system, ensuring patient satisfaction and compliance with healthcare regulations. This role allows for significant career growth and learning in a dynamic environment.

 

Job Tags

Full time, Relocation package, Relocation bonus,

Similar Jobs

Lifeline Urgent Care

PMHNP/PA-C CAQ PSY Job at Lifeline Urgent Care

 ...remote and at a psychical location when required at an office location in Houston, Texas. Our core goal is to provide high quality psychiatric care to our community. We treat adults with anxiety disorders, mood disorders and dually diagnosed psychiatric patients, but we... 

Heartlands Concepts Inc.

Shift Leaders - Food Service/Hospitality Job at Heartlands Concepts Inc.

Heartland Concepts, who owns and operates Auntie Annes Pretzels/ Planet Smoothie is currently seeking applications for Crew Members at all of our locations. (Westroads Mall, Nebraska Crossing and Gateway Mall in Lincoln). Minimum age is 16 years old and must have reliable...

Sunrise Systems

Sr. Global Mobility and Immigration Specialist || Tampa, FL Job at Sunrise Systems

 ...Job Title: Sr. Global Mobility and Immigration Specialist Duration: 12 Month Contract (Possible extension based on work performance) Location: Tampa, FL Hybrid Position Job Description: Top Skills (the one's with an asterisk are most important... 

Newport Associates

Virtual Assistant to Travel- (WFH) Job at Newport Associates

Are you ready for an exciting opportunity to learn a new skill set while working from the comfort of your own home? We are on the lookout for individuals who are passionate about travel and eager to join our team as a Virtual Assistant. As a key player in our agency, ...

Warner Bros Discovery

Technical Production Manager, CNN Job at Warner Bros Discovery

 ...from the idea that people around the world want more, need more, deserve more. We are the home of the global digital revolution. We are CNN. To see what its like to work at CNN, follow @WBDLife on Instagram ( and X ( ! Your New Role CNN is the world's most...