Provider Enrollment Specialist

<p>GetixHealth is seeking a <strong>Provider Enrollment Specialist</strong> to support <span>provider credentialing and recredentialing of applications, monitors application and follow-up as needed to facilitate enrollment for Hospital and/ or Physicians. You would need to be familiar with Provider Enrollment requirements, Medicare and Medicaid portals, and have the ability to work independently.</span></p> <p>-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------</p> <p> </p> <h4><span style="text-decoration: underline;"><strong>Key Responsibilities:</strong></span></h4> <ul> <li data-section-id="iq1qe5">Complete provider credentialing and recredentialing applications accurately and timely</li> <li data-section-id="1stutby">Monitor application status and follow up with payers to ensure timely enrollment</li> <li data-section-id="c24vt0">Maintain and update provider data and credentialing records</li> <li data-section-id="1bc1s0t">Collect and maintain required documentation (licenses, DEA, malpractice, etc.)</li> <li data-section-id="z1shk9">Work within CAQH and payer portals to support enrollment processes</li> <li data-section-id="yvetww">Communicate effectively with providers and insurance payers</li> <li data-section-id="of12nt">Ensure compliance with all federal, state, and regulatory requirements</li> <li data-section-id="8ostyg">Maintain strict confidentiality of provider information</li> <li data-section-id="x7s58x">Identify process gaps and provide feedback and recommendations for improvement</li> <li data-section-id="1vqyd1k">Perform additional duties as assigned</li> </ul> <p> </p> <h4><span style="text-decoration: underline;"><strong>Qualifications:</strong></span></h4> <ul> <li>High School Diploma or GED (or equivalent experience) required</li> <li data-section-id="4kj4eb">Previous experience in provider enrollment, credentialing, or insurance/medical billing preferred</li> <li data-section-id="8j8spf">Familiarity with CAQH and provider enrollment processes</li> <li data-section-id="185sw03">Strong attention to detail with the ability to research and analyze data</li> <li data-section-id="12vzrs">Proficiency in Microsoft Office and computer systems</li> <li data-section-id="121arkj">Excellent communication and organizational skills</li> <li data-section-id="h5mzt6">Ability to work independently and manage multiple tasks in a fast-paced environment</li> <li data-section-id="1569p4e">Ability to maintain a high level of confidentiality</li> </ul> <p> </p> <h4><span style="text-decoration: underline;"><strong>Work Environment:</strong></span></h4> <ul> <li>This is a remote position, candidate must pass the internet speed test.</li> <li>Ability to lift and/or move 20 pounds with or without accommodation.</li> </ul> <p style="text-align: center;"> </p> <h4><strong><span style="text-decoration: underline;">WHY JOIN GETIXHEALTH?:</span></strong></h4> <p>Founded in 1992, GetixHealth is a trusted leader in healthcare revenue cycle management, with offices across the U.S. and India. We’re more than revenue cycle experts—we’re a mission-driven team dedicated to helping healthcare organizations improve financial outcomes while delivering compassionate care. With over 2,000 employees, we foster a culture that values professionalism, innovation, and—above all—people.</p> <p> </p> <h4><strong><span style="text-decoration: underline;">BENEFITS & INCENTIVES:</span></strong></h4> <ul> <li style="vertical-align: middle;"><strong>Comprehensive Health Coverage:</strong><span> Enjoy medical, dental, and vision plans available starting after 60 days of full-time employment.</span></li> <li style="vertical-align: middle;"><strong>Life & Disability Insurance:</strong><span> Benefit from basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans.</span></li> <li style="vertical-align: middle;"><strong>401(k) Plan:</strong><span> Eligible to participate in the company’s 401(k) plan after 6 months of continuous service.</span></li> <li style="vertical-align: middle;"><strong>Paid Time Off (PTO):</strong><span> Start accruing PTO from your very first day of employment.</span></li> <li style="vertical-align: middle;"><strong>Flexible Benefits:</strong><span> Customize your benefits package to fit your personal and family needs.</span></li> </ul> <p> </p> <p> </p> <p><strong><span style="text-decoration: underline;">Note:</span> </strong>This job description is not intended to be an exhaustive list of responsibilities or qualifications and may be subject to change based on business needs.</p> <p style="text-align: center;"><em><strong>GetixHealth is an Equal Opportunity and E-Verify Employer</strong></em></p>

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