Enrollment specialist [h1.location_city]
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Enrollment specialist • atlanta ga
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Credentialing Specialist Position Summary : The Credentialing Specialist is responsible for managing all aspects of the credentialing, recredentialing, and privileging processes for providers delive...[show_more][last_updated.last_updated_1_day]
The Credentialing Specialist is responsible for managing all aspects of the credentialing, recredentialing, and privileging processes for providers delivering patient care within the clinic and Amb...[show_more][last_updated.last_updated_30]
Training Tomorrow's Technicians to Become Skilled, Employable and Essential.About Us - Big Changes, Better Benefits - Join us today!.
The Aviation Institute of Maintenance (AIM), established in 1969...[show_more][last_updated.last_updated_30]
TeleSpecialists is transforming healthcare delivery as the nation's largest and fastest-growing digital healthcare leader.
By providing expert neurological and psychiatric care directly to over 400 ...[show_more][last_updated.last_updated_variable_days]
TeleSpecialists is transforming healthcare delivery as the nation's largest and fastest-growing digital healthcare leader.
By providing expert neurological and psychiatric care directly to over ...[show_more][last_updated.last_updated_variable_days]
Customer Service Representative Benefits Enrollment Analyst.We are in search of a highly motivated candidate to join our talented team.
Job Title : Customer Service Representative Benefits Enrollme...[show_more][last_updated.last_updated_30]
Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and ec...[show_more][last_updated.last_updated_variable_days]
Our client is on a mission to transform the future of caregiving by providing critical support to families caring for loved ones with dementia and other conditions.
With strong traction and rapid gr...[show_more][last_updated.last_updated_30]
AIL is a leading insurance and supplemental benefits provider.The company provides its clients with value and unbeatable customer service with complete transparency and integrity.That's what makes ...[show_more][last_updated.last_updated_30]
Albany State University is a fully accredited senior unit of the University System of Georgia.Employees receive benefits provided by the University System of Georgia, including, but not limited to,...[show_more][last_updated.last_updated_variable_days]
Atlanta International School (AIS) brings together students, educators, and families from around the world and Atlanta with a shared goal : to develop courageous young leaders ready to make a positi...[show_more][last_updated.last_updated_30]
Are you an expert in the complexities of Medicare and Medicaid who thrives on high-stakes growth? As a Provider Enrollment Team Lead, you won't just manage a queue-you'll be the architect of a nati...[show_more][last_updated.last_updated_1_day]
A company is looking for a Provider Enrollment & Credentialing Specialist.Key Responsibilities Manage the collection, verification, and maintenance of all provider credentials Oversee the submis...[show_more][last_updated.last_updated_30]
Crossroads Treatment Centers is an equal opportunity employer.We celebrate diversity and are committed to creating an inclusive environment for all employees.
Since 2005, Crossroads has been at the ...[show_more][last_updated.last_updated_30]
TeleSpecialists is transforming healthcare delivery as the nation's largest and fastest-growing digital healthcare leader.
By providing expert neurological and psychiatric care directly to over 400 ...[show_more][last_updated.last_updated_variable_days]
Bilingual Outbound Enrollment Specialist.Pomelo Care is a multi-disciplinary team of clinicians, engineers, and problem solvers who are passionate about improving care for moms and babies.We are tr...[show_more][last_updated.last_updated_30]
This position requires regional to national travel.Base ($55K) +50% Commission UNCAPPED.Healthcare (Primary, dental, optical).
MDVIP : Transforming Primary Care, One Patient at a Time.MDVIP is a nati...[show_more][last_updated.last_updated_variable_days]
Mercer University is searching for an Enrollment Associate for the College of Health Professions on the Atlanta, Georgia campus.
The Enrollment Associate reports to the Director of Admissions and St...[show_more][last_updated.last_updated_30]
Department : Office of Recruitment & Enrollment Management.Reports To : Chief Academic Officer.The Director of Seminary Recruitment & Enrollment Management provides strategic leadership for all stude...[show_more][last_updated.last_updated_variable_days]
Provider Enrollment and Credentialing Specialist Bilingual Preferred
Atlanta StaffingAtlanta, GA, United States[job_card.full_time]
- [promoted]
Provider Enrollment and Credentialing Specialist Bilingual Preferred
Ortho Sport and Spine PhysiciansAtlanta, GA, US[job_card.full_time]
- [promoted]
Enrollment Specialist
Aviation Institute of MaintenanceAtlanta, GA, US[job_card.full_time]
Provider Enrollment Specialist - Corporate
Tele SpecialistsBrookhaven, GA, United States[job_card.full_time]
- [promoted]
Provider Enrollment Specialist - Corporate
TeleSpecialists LLCAtlanta, GA, US[job_card.full_time]
- [promoted]
Customer Service Representative Benefits Enrollment Analyst
AmpcusAtlanta, GA, US[job_card.full_time]
Enrollment Specialist III
InovalonAtlanta, GA[job_card.full_time]
Enrollment Specialist (Healthcare)
Satori DigitalAtlanta, GA, US[job_card.full_time] +1
[filters_job_card.quick_apply]
- [promoted]
Benefits Enrollment Specialist - Work From Home
Spade RecruitingAtlanta, GA, US[filters.remote]
[job_card.permanent]
Student Success Specialist - Enrollment Management & Student Success
Georgia TechAtlanta, GA, United States[job_card.full_time]
- [promoted]
Financial Aid and Enrollment Insights Manager
Atlanta International SchoolAtlanta, GA, US[job_card.full_time]
Provider enrollment specialist / lead
RandstadBrookhaven, GA, United States[job_card.permanent]
- [promoted]
Provider Enrollment Specialist
VirtualVocationsDecatur, Georgia, United States[job_card.full_time]
Remote Provider Enrollment Coordinator
CrossroadsAtlanta, GA[filters.remote]
[job_card.full_time]
- [promoted]
Provider Enrollment Specialist - Corporate
TeleSpecialistsAtlanta, GA, US[job_card.full_time]
- [promoted]
Bilingual Outbound Enrollment Specialist
Pomelo CareAtlanta, GA, US[job_card.full_time]
Member Enrollment Representative
MDVIPAtlanta, GA, United States[job_card.full_time]
Enrollment Associate
Mercer UniversityAtlanta, GA 30341[job_card.full_time]
- [promoted]
Director of Seminary Recruitment Enrollment Management
Gammon Theological SeminaryAtlanta, GA, United States[job_card.full_time]
Provider Enrollment and Credentialing Specialist Bilingual Preferred
Atlanta StaffingAtlanta, GA, United States[job_card.1_day_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]Apply working knowledge of medical billing and insurance claims rules as related to credentialing and payer enrollment. Review EOBs to identify denial trends related to credentialing or enrollment issues. Maintain and update CAQH profiles to ensure continuous payer compliance. Perform additional responsibilities and special projects as assigned. Education : High school diploma or equivalent required. Associate degree preferred. Experience : Minimum 2 years of credentialing or provider enrollment experience. 12 years of medical billing and insurance follow-up experience preferred. Experience with eClinicalWorks (eCW) preferred. Skills & Competencies : Strong knowledge of credentialing and provider enrollment processes. Excellent organizational skills with the ability to manage multiple priorities. Exceptional attention to detail and accuracy. Strong verbal and written communication skills, including professional correspondence. Ability to analyze data, research discrepancies, and solve problems effectively. Self-motivated with the ability to work independently with minimal supervision. Ability to build and maintain positive working relationships with providers, leadership, and external partners. Proficiency with Microsoft Office (Word, Excel, Access) and online credentialing systems. In-depth understanding of medical billing rules and insurance claims processes. Ability to review EOBs and identify credentialing-related denial patterns. Extensive experience with CAQH management and upkeep.
Credentialing Specialist
Credentialing Specialist Position Summary : The Credentialing Specialist is responsible for managing all aspects of the credentialing, recredentialing, and privileging processes for providers delivering patient care within the clinic and Ambulatory Surgery Center (ASC). This role ensures that all providers and the ASC maintain active, compliant credentials and privileges with health plans, hospitals, and regulatory entities. The Specialist will maintain accurate provider data across credentialing databases and systems, ensure timely renewal of all required documents, and support organizational compliance with payer and agency requirements.
Key Responsibilities
- Credentialing & Compliance
- Maintain accurate and up-to-date credentialing data for all providers across internal databases and online systems.
- Complete and manage provider credentialing and recredentialing applications, ensuring timely submission and proactive follow-up.
- Ensure all provider documentsincluding state licenses, DEA certificates, malpractice coverage, and certificationsare current and compliant.
- Maintain thorough understanding of evolving health plan, regulatory, and agency requirements.
- Set up and maintain provider profiles in credentialing and payer enrollment systems.
- Track all license, certification, malpractice, and DEA expiration dates to ensure timely renewals.
- Ensure all practice and provider addresses are accurately reflected with health plans, agencies, and third-party entities.
- Process and track hospital appointment and reappointment applications for provider privileges.
- Audit health plan directories regularly to ensure accurate provider listings.
- Maintain and update fee schedule contacts with insurance payers.
Billing & Enrollment Support
Other Duties
Qualifications
Ortho Sport and Spine Physicians is an Equal Opportunity Employer and does not discriminate in its employment practices on the basis of race, religion, sex, color, national origin, age, disability, citizenship, genetic information, veteran status, military service, or any other characteristic protected by federal law or Georgia law.