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Provider Enrollment Analyst Remote Jobs in Ohio (NOW HIRING)

HMG Careers

Remote Sales Enrollment Specialist

Dent, OH · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...

HMG Careers

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...

HMG Careers

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...

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All JobsProvider Enrollment Analyst JobsProvider Enrollment Analyst Remote JobsProvider Enrollment Analyst Remote Jobs in Ohio

Provider Enrollment Analyst Remote information

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 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 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 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 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

Billing Specialist

Toledo, OH • Remote

Personal Growth Counseling Services
See more jobs at Personal Growth Counseling Servicesexternal

$18.75 - $25.50/hr

Full-time

Posted 8 days ago

Job description

Position Overview

We are seeking a detail-oriented and experienced Billing Specialist to join our inclusive and affirming mental health practice. This position is essential to maintaining a smooth revenue cycle through accurate claims processing, efficient billing operations, and proactive communication with payers and clients. The ideal candidate will have a strong understanding of mental health billing procedures, including Ohio Medicaid, and will be comfortable working independently in a remote setting.


Key Responsibilities

Claims Processing & Revenue Cycle Management

  • Correct and submit unbilled claims due to missing diagnostic codes, signatures, or pending statuses.
  • Monitor claim status and follow up on rejections or denials; resubmit and appeal as needed.
  • Contact payers regarding overpayments, underpayments, and recoupments within 30 days of identification.
  • Process insurance write-offs for issues such as duplicates or payer errors.
  • Update and maintain billing rules with the Revenue Cycle Management (RCM) vendor to improve billing efficiency.

Client Billing & Accounts Management

  • Ensure client demographic and insurance information is accurate and current in the EHR system.
  • Perform monthly insurance verifications for active clients.
  • Address client billing inquiries professionally and provide timely resolution.
  • Manage accounts receivable and support collections activity as needed.
  • Maintain accurate billing logs, internal billing notes, and documentation in compliance with agency policies.

Collaboration & Compliance

  • Collaborate with clinical staff to ensure documentation and coding support timely and accurate billing.
  • Ensure compliance with Ohio Administrative Code (OAC), Ohio Revised Code (ORC), Medicaid requirements, and HIPAA standards.
  • Stay informed of Ohio Medicaid policy updates and implement necessary billing adjustments.
  • Support financial audits, compliance checks, and credentialing-related billing reviews.

Reporting & System Management

  • Utilize ClinicTracker (EHR) to process claims and track financial data.
  • Generate, review, and submit regular reports to monitor revenue performance and billing trends.

Credentialing & Provider Enrollment

  • Assist with credentialing individual providers with Ohio Medicaid and private insurance carriers.
  • Track and maintain credentialing application statuses, revalidations, and renewals.
  • Collaborate with providers and administrative staff to ensure timely submission of credentialing paperwork.
  • Maintain accurate records of credentialing documentation in compliance with payer and regulatory requirements.
  • Communicate with carriers to resolve credentialing or enrollment-related issues affecting billing or reimbursement.


Qualifications

  • Minimum 2 years of experience in medical billing, preferably in behavioral health or mental health services.
  • Strong understanding of Ohio Medicaid billing guidelines and third-party insurance claim processes.
  • Proficiency in EHR systems such as ClinicTracker, CareLogic, or inSync
  • Working knowledge of CPT/ICD-10 coding, insurance authorization, and HIPAA compliance.
  • Excellent communication and interpersonal skills.
  • High level of accuracy, attention to detail, and ability to meet deadlines.
  • Comfortable using inclusive, affirming, and culturally responsive language.
  • Must meet all privacy and security requirements for remote work.

Apply