Credentialing Provider Enrollment Analyst

Job Summary

A company is looking for a Provider Enrollment Analyst / Credentialing for a fully remote position starting on November 6th.

Key Responsibilities:

• Approve, deny, or return applications submitted by Medicare providers
• Utilize online Medicare files/systems to verify, update, and document enrollment information
• Research and verify proper fees and inspections have been completed on certain suppliers

Required Qualifications:

• High school diploma or equivalent
• 1 or more years of business experience in the insurance industry, claims processing, healthcare credentialing, billing, or medical reimbursement
• Associate degree in business administration, insurance, healthcare, or related fields (preferred)
• 2 or more years of business experience in the insurance industry, claims processing, healthcare credentialing, billing, or medical reimbursement (preferred)
• Experience interpreting government regulations and applying them to current processes (preferred)