Top 757 Provider enrollment Jobs in Plainfield, Nj

Provider Enrollment Specialist
Aspen Dental —New York, NY
- $24 - $26 an hour
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
7d
Provider Enrollment Account Manager
Knack BPO LLC —Woodbridge, NJ
- $65,000 a year
- 5 years
- HIPAA
- Mid-level
Quick Apply
Remote Enrollment - Outreach Coordinator
Medsien —New York, NY
- Contract
- Remote
- Older adults
- Communication skills
- Entry level
Quick Apply
1d
Specialist Healthcare Enrollment
St. Joseph's Health —Paterson, NJ
- $27.40 - $38.35 an hour
- Part-time
- Spanish
- HIPAA
- 3 years
- 403(b) matching
- Paid holidays
Telephone Representative II (Provider Relations)
1199SEIU Family of Funds —New York, NY
- $49,495.68 - $62,570.04 a year
- Full-time
- Research
- Mid-level
- High school diploma or GED
- Vision insurance
Healthcare Enrollment Specialist
St. Joseph's Health —Paterson, NJ
- $22.64 - $31.70 an hour
- Full-time
- Spanish
- HIPAA
- 3 years
- 403(b) matching
- Paid holidays
Education Program Assistant
Programs For Parents Inc —Newark, NJ
- $24.04 an hour
- Part-time
- Hybrid work
- Children
- Associate's degree
- 2 years
Quick Apply
5d
Remote Enrollment Specialist (Certified Medical Assistant)
Medsien —New York, NY
- Call employer
- Remote
- Residential
- Organizational skills
- Communication skills
- Paid training
Quick Apply
Outbound Enrollment Specialist
Pomelo Care —New York, NY
- $19.23 - $24.04 an hour
- Overtime
- Remote
- Children
- Communication skills
- Entry level
- Paid parental leave
- Health savings account
Associate, Patient Materials Operations, MSS
Bristol-Myers Squibb —Summit, NJ
- $28.13 - $34.09 an hour
- 8 hour shift
- Hybrid work
- High school diploma or GED
- Travel
- Fair chance
- Paid holidays
- Disability insurance
13d
Medicare Sales Representative II
MetroPlusHealth: Direct —New York, NY
- $65,592 a year
- Bilingual
- Microsoft Word
- Microsoft Excel
- Disability insurance
- Health insurance
2d
MAP Sales Representative II
MetroPlusHealth: Direct —New York, NY
- $65,592 a year
- Weekends as needed
- Addiction Medicine
- Mid-level
- Office
- Disability insurance
- Health insurance
2d
Chinese Bilingual Case Manager Supervisor
Asian Community Care Management —New York, NY
- $80,000 - $85,000 a year
- Full-time
- Hybrid work
- Mid-level
- Supervising experience
- Bachelor's degree
- Health savings account
- Health insurance
Quick Apply
MAP Sales Representative II - NYS Life, Accident and Health License Required
MetroPlusHealth —New York, NY
- $65,592 a year
- Weekends as needed
- Addiction Medicine
- Mid-level
- 3 years
Quick Apply
1d
Assistant Director of Residence Life
St. Francis College —Brooklyn, NY
- $66,300 a year
- Weekends as needed
- Data analysis skills
- Residential
- Master's degree
- Health savings account
- Health insurance
Quick Apply
7d
Medicare Sales Representative II - Staten Island (NYS Life, Accident, and Health)
MetroPlusHealth —New York, NY
- $65,592 a year
- Bilingual
- Microsoft Excel
- Hospital
Quick Apply
1d
Certified School Nurse
PATERSON PUBLIC SCHOOL —Paterson, NJ
- $63,130 - $101,425 a year
- Full-time
- Background check
- School experience
- CPR Certification
- Health insurance
- Dental insurance
Quick Apply
Licensed Practical Nurse
Homeside Hospice —Cranford, NJ
- $28 - $33 an hour
- Full-time
- Mid-level
- Home Health
- Hospice
- Health insurance
- Dental insurance
Quick Apply
12d
Medicare Sales Representative II - Queens & Brooklyn (NYS Life, Accident, and Health)
MetroPlusHealth —New York, NY
- $65,592 a year
- Bilingual
- Microsoft Excel
- Hospital
Quick Apply
1d
Substitute Teacher K-12
Scoot Education —Newark, NJ
- $190 a day
- Temporary
- Bilingual
- Background check
- Classroom
- Paid training
- 401(k)
Quick Apply

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Provider Enrollment Specialist

Aspen Dental -
New York, NY

Apply Now

Job Details

Full-time
$24 - $26 an hour
7 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching

Qualifications

Customer communication
High school diploma or GED

Full Job Description

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and wellness offices across 47 states in three distinct categories: Dental care, urgent care, and medical aesthetics. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Lovet Pet Health Care and Chapter Aesthetic Studio. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.

As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as a Provider Enrollment Specialist, which will be based remotely.

The Provider Enrollment Specialist plays a vital role within our Payor Strategy team. This position is responsible for managing and maintaining the enrollment and credentialing for Aspen Dental providers with insurance payers and assigned dental plans. This role ensures timely and accurate submission of provider applications, updates and recredentialing to facilitate uninterrupted billing, reimbursement and patient care. The successful candidate will report to the Enrollment Manager.

Key Responsibilities:

Prepare, submit and track payer enrollment applications for new providers and existing provider changes.
Maintain accurate records of all enrollment activities in the credentialing system.
Communicate with insurance companies, healthcare providers and internal departments to ensure applications are processed efficiently.
Monitor enrollment status and follow up with payers to resolve delays or issues.
Update provider demographic and practice information with all contract payers as needed.
Ensure recredentialing timelines and requirements are maintained so providers enrollment status remains intact with no lapses.
Work closely with Field Support, Operations, Revenue Cycle Management (RCM) team to resolve any escalated enrollment or credentialing issues in a timely manner.
Research and resolve out of network claims issues by investigating provider participation status and effective dates of enrollment.
Coordinate temporary provider enrollments and ensure all necessary documentation, linkage and payer updates are completed.
Collaborate closely with RCM on status of provider enrollments including providing reports submission as needed.
Generate and maintain enrollment status reports.
Support audits, and other duties as assigned.

Qualifications:

High school diploma or equivalent required, associate or Bachelor’s degree preferred.
1- 3 years of experience in payor enrollment.
Working knowledge of commercial payors and government payor requirements.
Proficient in Microsoft office and credentialing software including but not limited to CAQH, Availity.
Strong attention to detail, organization and follow up skills.
Excellent communication and customer service abilities interacting with internal teammates and external clients.
Detail oriented, with strong level of analytical and problem-solving skills.

Preferred Skills:

Experience in working with multi-specialty large group practices; dentistry is a plus.
Knowledge of revenue cycle and billing processes.
Familiarity with NPI and file provider management.

Base Pay Range: $24.00-26.00 per hour (Actual pay may vary based on experience, performance, and qualifications.)
A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match.
If you are an applicant residing in California, please view our privacy policy here: https://careers.aspendental.com/us/en/tag-privacy-policy-for-california-employees

View CA Privacy Policy

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Refine Your Search

provider enrollment jobs in plainfield, nj

Provider Enrollment Specialist

Provider Enrollment Account Manager

Remote Enrollment - Outreach Coordinator

Specialist Healthcare Enrollment

Telephone Representative II (Provider Relations)

Healthcare Enrollment Specialist

Education Program Assistant

Remote Enrollment Specialist (Certified Medical Assistant)

Outbound Enrollment Specialist

Associate, Patient Materials Operations, MSS

Medicare Sales Representative II

MAP Sales Representative II

Chinese Bilingual Case Manager Supervisor

MAP Sales Representative II - NYS Life, Accident and Health License Required

Assistant Director of Residence Life

Medicare Sales Representative II - Staten Island (NYS Life, Accident, and Health)

Certified School Nurse

Licensed Practical Nurse

Medicare Sales Representative II - Queens & Brooklyn (NYS Life, Accident, and Health)

Substitute Teacher K-12

I want to receive the latest job alert for provider enrollment in plainfield, nj

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