Top 661 Provider enrollment Jobs in Plainfield, Nj

Provider Enrollment Account Manager
Knack BPO LLC —Woodbridge, NJ
- $65,000 a year
- 5 years
- HIPAA
- Mid-level
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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
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
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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
Senior Global Trial Specialist
BMS —Princeton, NJ
- $118,446 - $140,120 a year
- Email
- Hybrid work
- Nursing
- Office
- Databases
- Paid holidays
- Disability insurance
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
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1d
Substitute Teacher K-12
Scoot Education —Newark, NJ
- $190 a day
- Temporary
- Bilingual
- Background check
- Classroom
- Paid training
- 401(k)
Quick Apply
Behavior Technician (BT) / Registered Behavioral Technician (RBT)
Sunshine Advantage —Kearny, NJ
- $22 - $30 an hour
- Part-time
- Background check
- Spanish
- CPR Certification
- Paid training
- 401(k)
Quick Apply
16h
Program Manager
Housing Works Inc. —Brooklyn, NY
- $65,000 - $70,000 a year
- Full-time
- Management
- Home Health
- In-person
- Health insurance
- Paid time off
Quick Apply
14h
Customer Enrollment Representative
CB Sales Agency —Montclair, NJ
- $950 - $1,400 a week
- Full-time
- In-person
- 1 year
- Communication skills
Quick Apply
8d
Care Manager - Pathways to Recovery
Integrity House —Newark, NJ
- $22 an hour
- Weekends as needed
- Background check
- CPR Certification
- Mid-level
- 403(b) matching
- Commuter assistance
Quick Apply
17h
Registered Dietitian Nutritionist (Bilingual: Mandarin)
POD Health —Brooklyn, NY
- $40 - $50 an hour
- Full-time
- Computer literacy
- Mid-level
- Outpatient experience
- Paid holidays
- Health insurance
Quick Apply
Security Guard -38528
Harvard Protection Services, LLC —Piscataway, NJ
- $18 an hour
- Full-time
- Military
- High school diploma or GED
- Reliable transportation
- Dental insurance
- 401(k)
12d

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Provider Enrollment Account Manager

Knack BPO LLC
Woodbridge, NJ

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Job Details

$65,000 a year

Qualifications

Provider enrollment for medical credentialing
Regulatory compliance
Bachelor's degree
Health insurance knowledge
Health information regulatory compliance
Database software proficiency

Full Job Description

Knack RCM is a leading healthcare services company specializing in tech-enabled revenue cycle management (RCM) solutions for medical practices, ambulatory surgery centers, and specialty providers. Headquartered in Woodbridge, New Jersey, Knack RCM delivers end-to-end support — including patient access, coding, billing, A/R management, and credentialing — through a global delivery model that combines advanced automation with deep specialty expertise. Formerly known as Knack Global, the company rebranded in 2024 to reflect its specialty-focused approach and has since expanded through strategic acquisitions in anesthesia, eye care, and DME/HME RCM. With thousands of employees worldwide, Knack RCM partners with healthcare organizations to improve financial performance, streamline operations, and empower providers to focus on patient care.

About the Role:

The Provider Enrollment Account Manager will accept and be assigned clients to manage. · The Provider Enrollment Account Manager will be responsible for managing the clients assigned to them, being the client's primary point of contact, and delegating and assigning tasks and projects to the oﬀshore team on a daily basis. The Provider Enrollment Account Manager will delegate projects and tasks to the oﬀshore team and manage turnaround time, and quality of the completed work. Meet with and train oﬀshore staﬀ as needed. The Provider Enrollment Account Manager will also be responsible for working normal business hours and so they can be available to the oﬀshore team for questions or concerns as well as clients. The Provider Enrollment Account Manager will mentor, train and coach the oﬀshore team. The Provider Enrollment Account Manager will manage all phases of provider enrollment, re-enrollment, contracting, fee schedule review and negotiations, and expirable management ensuring the timely and accurate enrollment (and recredentialing) of providers into various payers utilizing the oﬀshore team.

Instruct Oﬀshore team which payer(s) should be contacted when follow up is needed, requesting network participation, and follow up on submitted applications.
The Provider Enrollment Account Manager will coordinate in obtaining necessary data needed for enrollment, contracting, and other related purposes from clients and will provide instructions to Oﬀshore on how to handle all data within the software.
Oversee the completion and submission of provider enrollment applications for all clients.
Obtains required client signatures and forward the appropriate information when received to oﬀshore for the process to be completed.
Communicate with Oﬀshore to process all initial enrollments and re-enrollment applications, including revalidations for Medicare and/or Medicaid as requested by client.
Provide oﬀshore a list of clients and projects that should be followed up on weekly basis · Provide each client a weekly status report and the email and status report should be uploaded into STAT.
Manage CAQH/CAQH re-attestations including expirable which should be performed by oﬀshore.
Maintain the timelines on enrollment/credentialing schedules, communicate with providers and other departments to update as needed, clarify carrier information requirements, and maintain a strict level of conﬁdentiality for all matters pertaining to provider credentials.

Works in all phases of provider enrollment, re-enrollment, contracting, fee schedule review and negotiations, and expirable management ensuring the timely and accurate enrollment (and recredentialing) of providers into various payers (Medicare, Medicaid, and commercial health insurance companies).
Contacting payer(s) by phone, requesting network participation and follow up on submitted applications.
Coordinate's credentialing data needed for enrollment, contracting, and other related purposes.
Completion & Submission of provider enrollment applications. Works closely with providers to obtain missing documentation.
Obtains required client signatures and follows up with the carriers on documentation submitted on a weekly basis and per company policies.
Processes all initial enrollment and re-enrollment applications, including revalidations for Medicare and/or Medicaid as requested.
Follow-up and Follow-through on all submitted applications. Expirable management.
Maintain the timelines on enrollment/credentialing schedules, communicate with providers and other departments to update as needed, clarify carrier information requirements, and maintain a strict level of conﬁdentiality for all matters pertaining to provider credentials.

Minimum Qualifications:

Bachelor’s degree in Healthcare Administration, Business, or a related field.
5+ years of Payer Enrollment experience with Federal and Commercial payers
Strong knowledge of healthcare payer enrollment processes, credentialing standards, and regulatory requirements.
Proficiency with provider enrollment software and databases.
Experience in working with an Oﬀshore team preferred
Excellent communication and organizational skills.

Preferred Qualifications:

Certification in Provider Credentialing (e.g., CPCS) or related credentialing certification.
Experience working with multiple healthcare payers and understanding of various payer-specific enrollment requirements.
Familiarity with healthcare compliance regulations such as HIPAA and CMS guidelines.
Demonstrated ability to lead process improvement initiatives.
Advanced proficiency in data management tools and Microsoft Office Suite.

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Refine Your Search

provider enrollment jobs in plainfield, nj

Provider Enrollment Account Manager

Remote Enrollment - Outreach Coordinator

Specialist Healthcare Enrollment

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

Senior Global Trial Specialist

Licensed Practical Nurse

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

Substitute Teacher K-12

Behavior Technician (BT) / Registered Behavioral Technician (RBT)

Program Manager

Customer Enrollment Representative

Care Manager - Pathways to Recovery

Registered Dietitian Nutritionist (Bilingual: Mandarin)

Security Guard -38528

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

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