Job Highlights:
Contract type: Independent Contractor
Night Shift Schedule: Monday to Thursday - 8:45am to 5:00pm New York Time (8:45pm - 5:00am Manila Time)
Friday - 8:45am to 3:45pm New York Time (8:45pm - 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
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Job Responsibilities
- Provider Maintenance: Maintain up-to-date provider information required for state and government credentialing.
- System Management: Manage provider data across various platforms used by different practice groups.
- Access Control: Ensure all appropriate logins and credentials are available and functional.
- Database Updates: Update provider databases in a timely manner according to specific carrier schedules.
- Revalidation: Complete revalidation requests as required by payers and carriers.
- Compliance: Monitor expiring professional licenses, certificates, and liability insurance to ensure continuous compliance.
- Applications: Complete credentialing and re-credentialing applications for commercial payers and Medicaid.
- Claims Support: Collaborate with MBH teams to identify and resolve credentialing-related claim denials and authorization issues.
- Follow-up: Track application status and open escalation tickets for pending or denied applications.
- Communication: Prepare detailed email updates for practice groups to be sent via the provider enrollment representative.
- Team Collaboration: Attend daily and weekly meetings; complete all assigned to-do items promptly.
- General Support: Perform other duties as assigned.
Job Requirements
- Education: At least 2 years of college education.
- Experience: Minimum of 2 years in a medical practice setting handling billing, provider credentialing, authorizations, and reimbursement. Experience in Behavioral Health is preferred.
- Infrastructure: Must have a reliable backup power supply (e.g., extra laptop, power bank, generator, or UPS) or reside near a coworking space.
Knowledge, Skills, and Abilities
- Detail-oriented with above-average organizational skills.
- Ability to plan and prioritize tasks to meet strict deadlines.
- Excellent verbal and written communication skills.
- Strong reading comprehension.
- Proficiency in Microsoft Office (specifically Excel and Word) and advanced internet navigation.
Core Values
We hire, fire, and promote based on these core values in addition to job-specific performance:
- Respect for our unique cultural environment.
- Absolute confidentiality.
- Embracing teamwork.
- Loyal behavior and a positive attitude.
- Accountability and proactiveness.
- Thoroughness and a focus on results.
- A constant inspiration to learn and grow.
- Devotion to providing top-tier service through our Unique Service-Oriented Philosophies.
Independent Contractor Perks
- Permanent work-from-home setup.
- Immediate hiring and steady freelance work.
- Profit-sharing incentives and quarterly perfect attendance incentives.
- Paid Time Off (PTO) and holiday pay.
- Annual performance and raise evaluations.
- HMO and BruntWork loan assistance.
Note: As this is a permanent work-from-home Independent Contractor role, candidates must provide their own computer and internet connection. Contractors are responsible for their own benefits and taxes. Professional fees are paid hourly, with the rate determined by performance during the application process.
