As a Provider Enrollment & Credentialing Specialist, you will play a crucial role in ensuring that our
organization's healthcare providers are properly enrolled and credentialed with insurance companies and regulatory bodies. You will be responsible for managing the entire enrollment and credentialing process, ensuring compliance with all relevant regulations and maintaining accurate documentation. Your attention to detail and ability to communicate effectively with internal and external stakeholders will be essential in this role.
 

Duties/ Responsibilities:

• Manage the provider enrollment and credentialing process from start to finish.
• Communicate with healthcare providers to collect necessary documentation for enrollment and credentialing.
• Complete and submit enrollment applications to insurance companies and regulatory bodies.
• Follow up on application status and troubleshoot any issues that may arise.
• Maintain accurate records of provider credentials, licenses, and certifications.
• Ensure compliance with all relevant regulations and accreditation standards.
• Collaborate with internal departments, such as billing and compliance, to facilitate the enrollment and credentialing process.
• Stay up-to-date on changes in enrollment and credentialing requirements.
• Provide reports and updates to management on enrollment and credentialing status.
• Assist with audits and accreditation surveys as needed.
• Additional duties as assigned.

 

DISCLAIMER: Hoskinson Biotechnology, Hoskinson Health & Wellness Clinic, Hoskinson Construction, and all associated HBT entities are an equal opportunity employer. HBT does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for HBT to hire me. If I am hired, I understand that either HBT or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of HBT has the authority to make any assurance to the contrary.

I attest with my submission of this application that I have given to HBT true and complete information on this application. No requested information has been concealed. I authorize HBT to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.