Remote Provider Enrollment Credentialing Specialist

Remote Full-time
About the position

LBMC is a great place to work and we have the awards and people to prove it! As one of the fastest growing companies since our inception over 30 years ago, we know that people are the key to how to maintain our success. Our people, culture, benefit options, growth opportunities, and not to mention that we are located in some pretty amazing cities in Tennessee, all come together to make us a TOP Workplace!

Responsibilities
Ā• Submit and maintain provider enrollments to ensure timely application submissions and continued PAR statuses.
,
Ā• Assist providers with obtaining initial/renewal state licensures.
,
Ā• Maintain detailed notes of communications, application statuses, and follow-ups.
,
Ā• Request payor contracts on behalf of clients and pursue contracting through to completion.
,
Ā• Research current group/provider payor processes and secure payor representative contacts.
,
Ā• Verify group/provider statuses timely and accurately.
,
Ā• Communicate payor process updates to leadership.
,
Ā• Establish and maintain CAQH group/provider accounts and perform quarterly Reattestations timely.
,
Ā• Complete and submit group/provider enrollment payor applications, following through to completion.
,
Ā• Handle payor escalations when processing time exceeds standard processing ETA.
,
Ā• Respond to payor recredentialing/development requests promptly.
,
Ā• Provide clear and accurate status updates in weekly/bi-weekly client meetings and respond to client requests timely and professionally.

Requirements
Ā• Three years of Provider Enrollment experience.
,
Ā• Excellent attention to detail and ability to maintain multiple priorities.
,
Ā• Proficient in Microsoft Office products.
,
Ā• Ability to work independently on projects and communicate project status to leadership and clients in a professional manner.

Nice-to-haves
Ā• Knowledge of Hospital initial appointment/reappointment application processes.

Benefits

Apply Now

Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Remote Work From Home Data Entry Clerk / Typing

Remote

Senior MTS - Software Development

Remote

Experienced Customer Growth Representative – Driving Sales and Customer Satisfaction through Strategic Account Management and Merchandising Excellence

Remote

Senior Security Researcher

Remote

Experienced Data Entry Specialist – E-commerce and Product Database Management

Remote

Flexible Remote Chat Agent Careers - Full-Time | Earn $25-$35/hr

Remote

Experienced Customer Chat Support Specialist – Remote Live Chat Operator Position for Exceptional Customer Experience Delivery

Remote

Workflow Planner

Remote

(Remote Part-Time Job) Apple Data Entry Work From Home - WFH

Remote

Experienced Customer Support Specialist for Holistic Healthcare Marketplace and SaaS Booking Platform

Remote
← Back