Top 5 credentialing remote 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
5d
Licensing & Credentialing Associate
Ro —New York, NY
- $28 - $33 an hour
- Full-time
- Remote
- Mid-level
- Office
- Continuous improvement
- Paid parental leave
- Health insurance
Quick Apply
Medical Licensing Specialist (Contract)
Galileo —New York, NY
- $25 an hour
- Full-time
- Remote
- Mid-level
- Organizational skills
- 2 years
- Continuing education credits
Quick Apply

Discover related jobs

Based on your search for credentialing remote jobs.

Credentialing Coordinator
Alumni Healthcare Staffing —Bridgewater, NJ
Experience in the field of credentialing and/or health clinic customer service positions preferred. Learns to consult with appropriate licensing and regulatory…
From $48,000 a year
Quick Apply
Telehealth Mental Health Counselor LCSW/LMFT/LMHC 85k-96k
Nassau Psychology PC —Queens, NY
Master's degree and independent professional license in New York State (including Licensed Mental Health Counselor, Licensed Clinical Social Worker and Licensed…
$85,000 - $96,000 a year
Quick Apply
2d

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Credentialing & Enrollment Specialist
Open Mind Health —Columbus, OH
You will work closely with recruiting, operations, and provider onboarding teams to ensure clinicians move efficiently from hiring to active participation with…
$17 - $20 an hour
Quick Apply

I want to receive the latest job alert for credentialing remote in plainfield nj

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

credentialing remote jobs near plainfield nj

Enrollment Specialist jobs in New York, NY

Licensing Specialist jobs in New York, NY

Licensing Associate jobs in New York, NY

Benefits Specialist jobs in Columbia, Sc

Enrollment Specialist jobs in Columbus, Ga

Enrollment Specialist jobs in Salt Lake City, Ut

Enrollment Specialist jobs in New Haven, Ct

Enrollment Specialist jobs in Lakeland, Fl

Data Entry Specialist jobs in Atlanta, Ga

Licensing Specialist jobs in Scarsdale, Ny

Clinical Documentation Specialist jobs in Wisconsin

Licensing Specialist jobs in St. Louis, Mo

Licensing Specialist jobs in Henderson, Nc

Hr Specialist jobs in Chicago, Il

Licensing Specialist jobs in Las Vegas, Nv

Customer Success Specialist jobs in Chicago, Il

Childcare Licensing jobs in Maryland

Licensing Associate jobs in Indiana

Tax Associate jobs in Houston, Tx

Licensing Associate jobs in Saint Paul, Mn

Provider Enrollment Specialist

Aspen Dental -
New York, NY

Apply Now

Job Details

Full-time
$24 - $26 an hour
5 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

Apply Now

Refine Your Search

credentialing remote jobs in plainfield nj

Provider Enrollment Specialist

Licensing & Credentialing Associate

Medical Licensing Specialist (Contract)

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for credentialing remote in plainfield nj

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected