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Provider Enrollment Analyst Remote Jobs in Ohio (NOW HIRING)

RR Donnelley

eBilling Analyst - Remote

Columbus, OH · On-site +1

$18.99 - $26.59/hr

Company Description RRD provides marketing, packaging, print, and business services to the world ... The company's proprietary technology, advanced data analytics, and expertise fuel organizational ...

McQuade Organization

... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...

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Provider Enrollment Analyst Remote information

What is the difference between Provider Enrollment Analyst Remote vs Provider Enrollment Specialist?

AspectProvider Enrollment Analyst RemoteProvider Enrollment Specialist
CredentialsTypically requires a bachelor's degree and familiarity with healthcare regulationsOften requires similar certifications and experience in healthcare provider enrollment
Work EnvironmentRemote, office-based or hybrid settings, primarily administrativeUsually office-based, but increasingly remote, focused on provider registration
Employer & IndustryHealthcare insurance companies, managed care organizations, government agenciesHospitals, clinics, insurance providers, healthcare networks

The Provider Enrollment Analyst Remote and Provider Enrollment Specialist roles share similar credentials and industry usage. The main difference lies in the job focus: analysts often handle data analysis and process improvements remotely, while specialists focus on direct provider registration and onboarding. Both roles are essential in healthcare administration and may overlap in responsibilities depending on the employer.

What does a provider enrollment analyst do in a remote role?

A Provider Enrollment Analyst in a remote position is responsible for processing and managing the enrollment and credentialing of healthcare providers with insurance payers, Medicare, and Medicaid. They ensure that all provider information and documentation are accurate, complete, and compliant with regulatory requirements. Additionally, they monitor application statuses, resolve discrepancies, and communicate with providers or insurance companies to facilitate a smooth enrollment process. Remote analysts utilize secure digital systems to manage sensitive information and often coordinate with other teams within their healthcare organization.

What are some common challenges faced by remote provider enrollment analysts, and how can they be effectively managed?

Remote Provider Enrollment Analysts often encounter challenges such as coordinating with multiple departments, navigating varying payer requirements, and ensuring timely submission of provider applications. Effective communication with credentialing teams, staying organized with digital documentation, and keeping up-to-date with changing regulations can help manage these challenges. Utilizing collaboration tools and maintaining a proactive approach to follow-ups with payers and providers are also key to ensuring a smooth enrollment process.

What are the key skills and qualifications needed to thrive as a provider enrollment analyst remote?

To thrive as a Provider Enrollment Analyst, you generally need a solid understanding of healthcare provider credentialing processes, regulatory compliance, and experience with payer enrollment requirements, often backed by a bachelor’s degree in healthcare administration or a related field. Familiarity with credentialing software, provider databases, and electronic submission systems, as well as knowledge of CMS and commercial payer portals, is typically required. Strong attention to detail, organizational skills, and effective written and verbal communication help distinguish top performers in this role. These competencies ensure accurate and timely provider onboarding, regulatory compliance, and efficient revenue cycle operations for healthcare organizations.
What are the most commonly searched types of Provider Enrollment Analyst jobs in Ohio? The most popular types of Provider Enrollment Analyst jobs in Ohio are:
What are popular job titles related to Provider Enrollment Analyst Remote jobs in Ohio? For Provider Enrollment Analyst Remote jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Provider Enrollment Analyst Remote jobs in Ohio look for? The top searched job categories for Provider Enrollment Analyst Remote jobs in Ohio are:
What cities in Ohio are hiring for Provider Enrollment Analyst Remote jobs? Cities in Ohio with the most Provider Enrollment Analyst Remote job openings:
Provider Enrollment Analyst Remote jobs near you

Credentialist - Provider Enrollment Specialist

APS Medical

Toledo, OH • On-site, Remote

$18 - $20/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 26 days ago

Job description

Pay: $18 - $20 an hour
Fully Remote • Weekends Off • Opportunities for Growth • Work-Life Balance
APS Medical Billing, located in Toledo, Ohio is seeking an experienced Credentialing & Provider Enrollment Specialist to be part of our team. The Credentialing / Provider Enrollment verifies that the credentials of healthcare providers are in compliance with state and federal standards, communicates with physicians and clients to obtain credentialing documents, receive/process all initial credentialing/re-credentialing applications, and manage license, insurance, and DEA expirations for providers.
Credentialing / Provider Enrollment Specialist Requirements:
  • Minimum of 1-3 years of experience in medical credentialing
  • Proven ability to multi-task and handle heavy workloads (maintain credentialing efforts for over 150 physicians)
  • Detail oriented
  • Maintain strict level of confidentiality
  • Must be proficient with Word and Excel
  • Excellent written and verbal communication

Benefits Package includes:
  • Competitive wages
  • Medical plan
  • Health Savings Account
  • Alight - Personal Health Care Advisor
  • Dental, Vision, Life Insurance, 401K
  • Paid holidays
  • EAP - Employee Assistance Program

We are an Equal Opportunity Employer committed to a diverse workforce. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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