Mindoula is seeking an experienced and detail-oriented Provider Enrollment Specialist to join our team. An ideal candidate would possess vast experience with multi-state Medicaid, Medicare and Commercial enrollment processes. In this role, you will be responsible for facilitating provider enrollment for our organization, ensuring that our behavioral health providers are properly qualified and enrolled expeditiously with insurance networks.

Location

100% Remote in the United States. This is a work from home position that requires a dedicated workspace, without interruptions during work hours. The company will provide necessary equipment to complete the job duties and employees must provide high speed internet connection at their own cost.

Hours

Monday through Friday, from 8:00 AM to 5:00 PM EST.

What you’ll do

• Facilitate all aspects of the provider enrollment process, including initial applications, re-credentialing, and maintaining provider information in all necessary systems.
• Submit provider enrollment applications across multiple states to include Medicare and Medicaid programs as well as commercial payers.
• Works with healthcare providers to complete necessary paperwork and answer questions about the enrollment and credentialing process.
• Stays up to date with changes in regulations and standards from organizations such as the National Committee for Quality Assurance (NCQA) and the Centers for Medicare and Medicaid Services (CMS).
• Maintains updated CAQH profile for all providers
• Maintains accurate records and ensures that all credentialing documents are current and comply with industry standards.
• Maintains changes to names, service locations, and addresses across all portals and platforms
• Works collaboratively with other departments to resolve credentialing and enrollment issues.
• Maintains and updates frequently our credentialing database and tracking systems, to include Modio, Monday, Sheets, etc.

What you’ll need

• High school diploma or equivalent required
• Associate degree preferred
• CPCS certification preferred
• Minimum 2 years work experience in credentialing preferred, minimum 1 year required
• Must be proficient in Google Suite, Adobe, Zoom, Office, CAQH, and Chrome
• Preferred experience with UKG, Modio, Monday, RingCentral, Slack, Apple Products
• Above average writing and verbal communication skills
• Detail oriented with solid organization and time management skills. You must have the ability to work quickly, efficiently and independently.
• Endurance and motivation to perform repeated tasks and respond quickly to requests for assistance from providers and company management
• Desire and flexibility to jump in on urgently requested team taskings
• Attend and actively contribute to scheduled meetings without distraction
• Passion and drive to make a positive impact on our team/company through collaboration, initiation and pride in work outcomes