Enrollment and Contracting Specialist
Noble Community Clinics —Stevens Point, WI
- Full-time
- HIPAA
- Research
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
1d

Check out these similar jobs

Based on your search for credentialing specialist jobs.

Enrollment and Contracting Specialist
Noble Community Clinics —Stevens Point, WI
CPR certification required within six months of hire. Research payer requirements and develop guidelines for new provider and site agreements as needed.
Quick Apply
1d

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Credentialing Specialist-(Day)FT
Adena Health System —Chillicothe, OH
Must possess a valid National Association Medical Staff Services (NAMSS) Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified…
Credentialing Specialist
Integrated Services for Behavioral Health —Columbus, OH
A valid driver's license and the ability to operate a motor vehicle is required. A bachelor’s degree in accounting, credentialing, or a related field is…
$23.85 - $28.02 an hour
Quick Apply
9d

I want to receive the latest job alert for credentialing specialist in stevens point, wi

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 specialist jobs near stevens point, wi

Enrollment Specialist jobs in San Francisco, CA

Enrollment Specialist jobs in St. Louis, MO

Enrollment Specialist jobs in Little Rock, AR

Clinical Application Specialist jobs in New York, NY

Enrollment Specialist jobs in Dayton, OH

Clinical Specialist jobs in California

Child Development Specialist jobs in New Jersey

Project Specialist jobs in Remote

Enrollment and Contracting Specialist

Noble Community Clinics -
Stevens Point, WI

Quick Apply

Job Details

Full-time
1 day ago

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
401(k) 5% Match
Vision insurance
401(k) matching
Life insurance

Qualifications

Customer communication
High school diploma or GED
Desktop applications
Productivity software

Full Job Description

Enrollment & Contracting Specialist

Noble Community Clinics is seeking an Enrollment & Contracting Specialist to join our team. This position plays an important role in ensuring our providers and clinic locations maintain active participation with insurance payers and remain compliant with enrollment and contracting requirements.

The Enrollment & Contracting Specialist manages provider and site enrollment, payer contracting, revalidation, and credentialing-related activities. This role works closely with providers, internal departments, insurance payers, and external partners to ensure enrollment information is accurate, current, and completed within required timelines.

What You'll Do

Provider Enrollment & Credentialing

Complete enrollment for new providers with applicable insurance payers and clearinghouses in a timely and accurate manner.
Utilize Credential Stream to maintain, track, submit, and initiate provider enrollment and demographic information.
Maintain CAQH proxy access on behalf of providers.
Track provider, site, and contract renewals and expiration dates to prevent enrollment lapses.
Coordinate payer revalidations, renewals, and enrollment updates.

Payer Contracting & Relationships

Establish and maintain professional relationships with insurance payer contacts.
Serve as an organizational contact for payer enrollment and contracting questions and issues.
Research payer requirements and develop guidelines for new provider and site agreements as needed.
Monitor payer requirements and communicate changes to appropriate internal departments.

Issue Resolution & Compliance

Track, research, and assist with resolving enrollment-related denials, adjustments, and payer issues.
Assist with enrollment-related appeals and payer escalations.
Identify and escalate outstanding or pending enrollment and contract issues.
Maintain knowledge of payer requirements and the unique regulatory and operational requirements of Federally Qualified Health Centers (FQHCs).
Maintain patient confidentiality and comply with HIPAA requirements.

Collaboration & Customer Service

Partner with internal departments to resolve enrollment and payer-related issues.
Provide responsive, professional customer service to providers, coworkers, payers, and other external partners.
Maintain a positive and professional image of Noble Community Clinics.

What We're Looking For

High school diploma or equivalent required.
Previous payer enrollment, credentialing, or payer contracting experience preferred.
Strong computer skills, including proficiency with Microsoft Office applications required.
Excellent organizational skills and attention to detail.
Strong analytical and problem-solving abilities.
Excellent time management skills and the ability to meet deadlines.
Strong interpersonal and communication skills.
CPR certification required within six months of hire.

Why Join Noble Community Clinics?

At Noble, you'll be part of a mission-driven organization focused on providing accessible, high-quality healthcare to the communities we serve. Your work will directly support our providers and help ensure patients have continued access to care.

Benefits may include:

20 days of PTO (accrual starts on day one)
8 paid holidays
401(k) with up to 5% employer match
Medical, dental, and vision insurance
Employer paid Short- and long-term disability and life insurance

Noble Community Clinics is an Equal Opportunity Employer.

Quick Apply

Refine Your Search

credentialing specialist jobs in stevens point, wi

Enrollment and Contracting Specialist

Check out these similar jobs

Explore jobs in cities nearby

I want to receive the latest job alert for credentialing specialist in stevens point, wi

Explore jobs in more locations

Enrollment & Contracting Specialist

What You'll Do

What We're Looking For

Why Join Noble Community Clinics?

Job Seeker Tools

Employer Tools

Browse

Stay Connected