When payor requirements change, must be able to analyze and compare processes in order to recommend ... Minimum 3 years of Provider Enrollment/Payor Credentialing experience required. Preferred Skills ...
When payor requirements change, must be able to analyze and compare processes in order to recommend ... Minimum 3 years of Provider Enrollment/Payor Credentialing experience required. Preferred Skills ...
When payor requirements change, must be able to analyze and compare processes in order to recommend ... Minimum 3 years of Provider Enrollment/Payor Credentialing experience required. Preferred Skills ...
When payor requirements change, must be able to analyze and compare processes in order to recommend ... Minimum 3 years of Provider Enrollment/Payor Credentialing experience required. Preferred Skills ...
When payor requirements change, must be able to analyze and compare processes in order to recommend ... Minimum 3 years of Provider Enrollment/Payor Credentialing experience required. Preferred Skills ...
When payor requirements change, must be able to analyze and compare processes in order to recommend ... Minimum 3 years of Provider Enrollment/Payor Credentialing experience required. Preferred Skills ...
ENROLLMENT ANALYST
Las Vegas, NV · On-site
Enrollment Analyst, Monday-Friday The Enrollment Analyst oversees the credentialing and payer ... One of the nation's largest and most respected providers of hospital and healthcare services ...
ENROLLMENT ANALYST
Las Vegas, NV · On-site
Enrollment Analyst, Monday-Friday The Enrollment Analyst oversees the credentialing and payer ... One of the nation's largest and most respected providers of hospital and healthcare services ...
Provider Enrollment Specialist
PA · On-site
$60K/yr
Provider Enrollment Specialist - West Norriton, PA, Monday to Friday, 8:00 AM to 5:00 PM Pay range ... Strong analytical and problem-solving skills * Strong interpersonal skills; ability to work with ...
New
Provider Enrollment Specialist
PA · On-site
$60K/yr
Provider Enrollment Specialist - West Norriton, PA, Monday to Friday, 8:00 AM to 5:00 PM Pay range ... Strong analytical and problem-solving skills * Strong interpersonal skills; ability to work with ...
New
ENROLLMENT ANALYST
Las Vegas, NV · On-site
$23.93 - $35.90/hr
Enrollment Analyst, Monday-Friday The Enrollment Analyst oversees the credentialing and payer ... One of the nation's largest and most respected providers of hospital and healthcare services ...
ENROLLMENT ANALYST
Las Vegas, NV · On-site
$23.93 - $35.90/hr
Enrollment Analyst, Monday-Friday The Enrollment Analyst oversees the credentialing and payer ... One of the nation's largest and most respected providers of hospital and healthcare services ...
The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to ... Strong analytical skills * Strong decision-making skills * Strong problem-solving skills * Strong ...
The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to ... Strong analytical skills * Strong decision-making skills * Strong problem-solving skills * Strong ...
The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to ... Strong analytical skills * Strong decision-making skills * Strong problem-solving skills * Strong ...
The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to ... Strong analytical skills * Strong decision-making skills * Strong problem-solving skills * Strong ...
The Supervisor, Provider Enrollment is responsible for assisting with the day-to-day activities of ... High level of awareness of pertinent details; excellent organizational skills. Compensation * Base ...
The Supervisor, Provider Enrollment is responsible for assisting with the day-to-day activities of ... High level of awareness of pertinent details; excellent organizational skills. Compensation * Base ...
Manager - Provider Enrollment
San Francisco, CA · On-site
$98K - $102K/yr
They are responsible for ensuring responsive, high-level customer service for providers, from their ... Analyze current data collection processes and work to track and identify needs for internal ...
Manager - Provider Enrollment
San Francisco, CA · On-site
$98K - $102K/yr
They are responsible for ensuring responsive, high-level customer service for providers, from their ... Analyze current data collection processes and work to track and identify needs for internal ...
... next level of supervision, as appropriate. 7. Ensures accuracy of data entered and record ... Analyze enrollment data to identify trends, discrepancies, and areas for improvement; prepare ...
... next level of supervision, as appropriate. 7. Ensures accuracy of data entered and record ... Analyze enrollment data to identify trends, discrepancies, and areas for improvement; prepare ...
Provider Enrollment Specialist
Chicago, IL · On-site
$60K - $75K/yr
About The Role The Provider Enrollment Specialist is responsible for processing, verifying and ... Strong analytical, organizational and problem solving skills. * Excellent written and verbal ...
Provider Enrollment Specialist
Chicago, IL · On-site
$60K - $75K/yr
About The Role The Provider Enrollment Specialist is responsible for processing, verifying and ... Strong analytical, organizational and problem solving skills. * Excellent written and verbal ...
... next level of supervision, as appropriate. 7. Ensures accuracy of data entered and record ... Analyze enrollment data to identify trends, discrepancies, and areas for improvement; prepare ...
... next level of supervision, as appropriate. 7. Ensures accuracy of data entered and record ... Analyze enrollment data to identify trends, discrepancies, and areas for improvement; prepare ...
S., having built a national presence by becoming experts at the state level. To date, we have ... Strong analytical and problem solving skills. * Excellent organizational, planning, and ...
S., having built a national presence by becoming experts at the state level. To date, we have ... Strong analytical and problem solving skills. * Excellent organizational, planning, and ...
Medicare & Medicaid Enrollment Analyst
$23 - $25/hr
Medicaid Provider & Group Enrollment * Submit revalidation Medicaid applications for both ... Strong organizational, analytical, and problem-solving skills. Preferred * Multi-state Medicare and ...
Medicare & Medicaid Enrollment Analyst
$23 - $25/hr
Medicaid Provider & Group Enrollment * Submit revalidation Medicaid applications for both ... Strong organizational, analytical, and problem-solving skills. Preferred * Multi-state Medicare and ...
Senior Provider Enrollment Specialist
Tulsa, OK · On-site +1
Analyze data and produce reports on credentialing metrics and trends. * Participate in continuous ... High-level organizational and problem-solving skills with keen attention to detail. * Excellent ...
Senior Provider Enrollment Specialist
Tulsa, OK · On-site +1
Analyze data and produce reports on credentialing metrics and trends. * Participate in continuous ... High-level organizational and problem-solving skills with keen attention to detail. * Excellent ...
Enrollment Analyst, Monday-Friday The Enrollment Analyst oversees the credentialing and payer ... One of the nation's largest and most respected providers of hospital and healthcare services ...
Enrollment Analyst, Monday-Friday The Enrollment Analyst oversees the credentialing and payer ... One of the nation's largest and most respected providers of hospital and healthcare services ...
Medicaid Provider & Group Enrollment * Submit revalidation Medicaid applications for both ... Strong organizational, analytical, and problem-solving skills. Preferred * Multi-state Medicare and ...
Medicaid Provider & Group Enrollment * Submit revalidation Medicaid applications for both ... Strong organizational, analytical, and problem-solving skills. Preferred * Multi-state Medicare and ...
Provider Enrollment/Credentialing Specialist
Boise, ID · On-site
$30 - $40/hr
The Consultant will also support clients through providing advisory services for organizational level NPI management and provider enrollment challenges. This position supports client organizations ...
Quick apply
Provider Enrollment/Credentialing Specialist
Boise, ID · On-site
$30 - $40/hr
The Consultant will also support clients through providing advisory services for organizational level NPI management and provider enrollment challenges. This position supports client organizations ...
Apart from this, we also provide IT Staffing services that can help your organization to a great ... This positions will research and analyze strategic choices and make recommendations to achieve the ...
Apart from this, we also provide IT Staffing services that can help your organization to a great ... This positions will research and analyze strategic choices and make recommendations to achieve the ...
Mid Level Provider Enrollment Analyst information
See salary details
$13.94 - $15.97
1% of jobs
$15.97 - $18.01
15% of jobs
$18.97 is the 25th percentile. Wages below this are outliers.
$18.01 - $20.04
19% of jobs
The median wage is $21.94 / hr.
$20.04 - $22.07
16% of jobs
$22.07 - $24.10
18% of jobs
$25.22 is the 75th percentile. Wages above this are outliers.
$24.10 - $26.14
11% of jobs
$26.14 - $28.17
5% of jobs
$28.17 - $30.20
5% of jobs
$30.20 - $32.23
2% of jobs
$32.23 - $34.27
4% of jobs
$34.27 - $36.30
3% of jobs
$13
$23
$36
How much do mid level provider enrollment analyst jobs pay per hour?
What cities are hiring for Mid Level Provider Enrollment Analyst jobs?
Cities with the most Mid Level Provider Enrollment Analyst job openings:
What are the most commonly searched types of Provider Enrollment Analyst jobs?
The most popular types of Provider Enrollment Analyst jobs are:
What states have the most Mid Level Provider Enrollment Analyst jobs?
States with the most job openings for Mid Level Provider Enrollment Analyst jobs include:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 24 days ago
SCP Health rating
8.8
Based on 16 frontline employees who took The Breakroom Quiz
Job description
As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
Why you will love working here:
- Strong track record of providing excellent work/life balance.
- Comprehensive benefits package and competitive compensation.
- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.
Primary Duties and Responsibilities:
- Process and maintain provider applications for enrollment and re-enrollment for Medicare, Medicaid, BCBS and/or Commercial payors in accordance with Federal and State guidelines.
- Prioritize and manage multiple enrollments in a deadline-driven environment.
- Distribute, log, receive and scan Provider Enrollment Packets as assigned.
- Update National Provider Database information as needed.
- Monitor credentials, i.e. Medical License, DEA to ensure they are active and in good standing.
- Submit updated credentials to payors when credentials have expired to ensure no lapse in enrollment.
- Serve as the primary contact for providers and payors when questions regarding enrollment/re-enrollment arise.
- Identify any issues with providers eligibility to participate in Government plans.
- Advise Supervisor/Manager immediately of any eligibility issues for providers.
- Procure all documents needed from Provider to enroll timely. Escalate to MSL on non-response providers.
- Perform data entry of submitted applications in Provider database record along with any documentation related to the enrollment process.
- Perform follow up on submissions via online, email or phone according to policies and procedures to ensure timely approval is received.
- Monitor Provider Enrollment AR on Hold reports for any held enrollment that should not be holding and identify and research any providers with held AR of 120 days to ensure no issues exist.
- Report any AROH related issues to Manager upon identification and correction.
- Assist with roster maintenance/training with global partners when needed.
- Update database with new implementation changes when directed by Management.
- Apply critical and strategic thinking in solving any enrollment related issues/concerns.
- Maintain accurate database information and perform data quality cleanup activities as directed by Management.
- Maintain confidentiality of privileged information.
- Work in CAQH database and maintain/update providers' credentials every 90 days.
- On occasion, may be required to be onsite at client facility to distribute PEPs and help facilitate in person enrollment.
- Once approval is received from payors, document approval and effective dates in Provider Enrollment system to ensure approvals and information are pushed to Billing System for release of claims.
- Monitor changes to payor requirements through payor websites, bulletins, emails, etc and communicate any changes to appropriate Managers to ensure changes are made wherever applicable.
Required Skills and Qualifications:
- Work independently utilizing documented processes and automated daily reports generated from database.
- Must work independently with little or no oversight.
- When payor requirements change, must be able to analyze and compare processes in order to recommend process solutions to Management.
- Agility in managing multiple priorities with strong organizational and time management skills.
- Knowledge of Payor Credentialing processes, both Par and Non-Par.
- Knowledge of Provider Credentials.
- Experience working in CAQH database and National Provider Identifier database
- Knowledge of CMS Regulations and guidelines.
- Proficient in Microsoft Office applications including Word and Excel.
- Ability to foster a cooperative and respectful work environment.
- Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
- Ability to communicate effectively both orally and in writing.
- Minimum 3 years of Provider Enrollment/Payor Credentialing experience required.
Preferred Skills and Qualifications:
- Experience with Availity and other provider related credentialing/enrollment databases.
- Experience working with Medicare, Medicaid or any Commercial payor.
- Experience working with Credentialing/Enrollment software.
EDUCATION:
- HS Diploma required.
- B.A. in Healthcare or Business Administration or equivalent experience preferred.
CERTIFICATES AND LICENSES: (Preferred)
- PESC (Provider Enrollment Specialist Certification)
- CPCS (Certified Provider Credentialing Specialist)
PRIMARY LOCATION:
- Lafayette, LA
Pay Range:
15.00 - 21.00 USD per hour
This range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.
We offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including medical dental, vision insurance, a 401(k) plan with a company match, paid time off and holidays, professional development support, and employee wellness resources.
Visit our website for further information. https://myscpbenefits.com/
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