CVO Specialist - Provider Enrollment Coordinator

Hardenbergh GroupNashville, TN
$36,000 - $45,000Remote

About The Position

Sentact is a national company providing credentialing services to the healthcare industry. We are currently seeking to fill a full-time position in our Credentialing Verification Organization (CVO). Our CVO team works with client physicians and other non-physician providers to coordinate the process of credentialing and contracting with insurance companies.

Requirements

  • 2+ years in provider enrollment / payer credentialing with a solid understanding of the credentialing and contracting process
  • Experience working with payor networks throughout the country including government health programs as well as commercial insurance networks
  • Excellent telephone communication skills to interact with insurance companies, clients, staff, and prospects
  • Ideal candidate must be self-motivated, capable of working independently to achieve production goals, and have attention to detail
  • Able to work proficiently within multiple business applications including Microsoft Office, Adobe Acrobat, Salesforce.com, Microsoft Teams, Vonage softphone
  • Qualified applicants must be authorized to work in the United States commit to perform all work in the United States
  • Have a dedicated workspace in your residence that allows for privacy, minimal disruptions, and have adequate high-speed internet

Responsibilities

  • Oversee all payer credentialing matters for assigned clients
  • Be responsible to your assigned clients for any needs related to payor credentialing for their practitioners
  • Preparation of credentialing applications, letters, rosters and other communication with insurance networks
  • Total project management of the credentialing services purchased by each assigned client
  • Inbound telephone, text message, and web chat communication with clients to answer questions and provide support
  • Inbound communications from insurance companies, and other healthcare organizations
  • Outbound calls to insurance carriers to verify credentialing application progress and to expedite the credentialing process
  • Data entry and document maintenance of physician/provider information
  • Documenting interactions with insurance networks and clients in the internal software platform
  • Coordinate work assignments among enrollment team assigned to the region
  • Maintain relationships with insurance network contacts as well as clients

Benefits

  • generous PTO
  • Medical
  • Dental
  • Vision
  • Disability
  • Life
  • HSA/FSA accounts
  • 401(k) with employer match
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