WFH Provider Enrollment Assistant

4 weeks ago

Batangas City, Philippines BruntWork Full time

Job Highlights Contract type: Independent Contractor Night Shift Schedule Monday to Thursday - 8:45am to 5:00pm New York Time (9:45pm - 5:00am Manila Time) Friday - 8:45am to 3:45pm New York Time (9:45pm - 3:45am Manila Time) Job Role You will be assisting the Provider Enrollment/Credentialing team member to meet their responsibilities to maintain active status to all providers as required by insurance carriers, network management, and state Medicaid regulations. Job Responsibilities Maintain individual providers with up-to-date information needed to complete credentialing by the state and govt rules. Maintain the provider information in various systems utilized by different practice groups. Ensure appropriate log-ins are available. Update each provider's database in a timely fashion and according to the carrier’s schedule. Complete revalidation requests by payers and carriers. Stay on top of near expiring licensing certificates and/or liability insurance information. Complete credentialing applications for providers with commercial payers and Medicaid. Complete re-credentialing for commercial payers and Medicaid. Work closely with the other teams in MBH to identify and resolve denials and authorizations in claims related to credentialing. Follow up on status and open escalation tickets for submitted or denied credentialing applications. Prepare email communication with relevant information to be sent to practice groups by the provider enrollment rep. Attend daily meetings with provider enrollment member. Attend weekly team meetings, completing the to-do’s assigned to provider enrollment member. Other duties as assigned Job Requirements At least 2 years of college education At least 2 years experience in a medical practice dealing with billing including but not limited to, provider credentialing, authorizations, reimbursement, etc. preferably in Behavioral Health to some degree Must have backup power supply (extra laptop/power bank/generator/UPS) Must have backup power Knowledge/skills/abilities Detail orientated with above‑average organizational skills Able to plan and prioritize to meet deadlines Excellent verbal and written communication Communicates clearly and effectively Excellent reading comprehensionExcellent computer skills, including Microsoft programs such as Excel, Word Thorough understanding of navigating the internet Core Values We hire, fire and promote based on these core values + job‑specific performance: Respectful of our unique cultural environment Absolute Confidentiality Embracing Teamwork Loyal Behavior & Positive Attitude Accountability Proactiveness Thoroughness Focused on results Inspired to learn & grow constantly Devoted to providing top‑tier services to our clients through the "Unique Service Oriented Philosophies" Independent Contractor Perks Permanent work from home Immediate hiring Steady freelance job Profit sharing incentive Paid time off Holiday pay Annual Performance and Raise Evaluation Quarterly Perfect Attendance Incentive HMO BruntWork Loan Assistance Please note that since this is a permanent work-from-home position and an “Independent Contractor” arrangement, the candidates must have their own computer and internet connection. They will handle their own benefits and taxes. The professional fees are on hourly rates and the rate depends on your performance in the application process. ZR_28916_JOB #J-18808-Ljbffr

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