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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in provider enrollment processes and credentialing requirements, with a strong focus on maintaining compliance and effective communication with payor representatives. Proven ability to manage documentation and track application statuses to ensure timely approvals.
Highest-signal resume keywords
Provider EnrollmentCredentialing RequirementsMedical Billing ExperienceBehavioral Health KnowledgeCompliance Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider CredentialingApplication SubmissionRecredentialing ManagementPayor AttestationsData Validation
Soft Skills
Relationship BuildingTeam CollaborationProactive Communication
Industry Keywords
In-Network EnrollmentOut-Of-Network EnrollmentUS-Based Medical BillingAuthorization ProcessesReimbursement Processes
About the role
Key responsibilities & impact- Assist in the submission of provider enrollment applications for assigned states
- Serve as the primary subject matter expert for credentialing and enrollment requirements in assigned state(s)
- Maintain current knowledge of both in-network and out-of-network enrollment processes
- Partner with Account Coordinators to validate provider data and documentation prior to initiating enrollment applications
- Establish and maintain productive working relationships with payor representatives in assigned states
- Prepare and submit provider enrollment documentation through appropriate channels
- Track application status and perform proactive followups to drive timely approvals
- Manage recredentialing submissions and communicate upcoming client requirements to Account Management
- Complete quarterly and other required payor attestations to ensure ongoing compliance
- Attend weekly team meetings, completing the to-do’s assigned to team member
- Update team leader on recurring issues
Requirements
What you’ll need- At least 2 years in college
- Two years experience in US-based medical billing practice or
- Two 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
Benefits
Comp & 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