Remote Part-time Enrollment Coordinator

Crossroads Treatment Centers • Greenville, SC

21h • Remote

About The Position

The Enrollment Coordinator supports provider and facility enrollment and credentialing across multiple states. The role works closely with the recruiting team, Clinician Onboarding Liaison, credentialing coordinators, the Director, and other stakeholders to onboard providers and facilities with Medicaid, Medicare, commercial, and managed care plans. The coordinator maintains provider documents and enrollment records, prepares and tracks payer applications, monitors credentialing status, and communicates updates and issues to providers and internal teams.

The position also supports new facility openings and entry into new markets by researching state requirements, preparing standard operating procedures, and coordinating facility and provider enrollment. It works with payors to support timely enrollment and active status, follows up on claims-related credentialing issues, and assists the broader Provider Enrollment Department, contracting, and revenue cycle teams as needed.

This is a remote, part-time role expected to work 20 hours per week, with a flexible schedule. Overtime may be required by management.

Requirements

• At least 2 years of successful work experience in physician credentialing and/or physician enrollment.
• Experience with provider credentialing databases, websites, or portals, such as CAQH, NPPES, and PECOS.
• Working knowledge of the revenue cycle process.

Nice To Haves

• Experience with Modio software.

Responsibilities

• Work with the recruiting team during provider onboarding and provide weekly updates on enrollment status with payors.
• Obtain and maintain credentialing documents for new and existing providers, including documents approaching expiration.
• Provide timely, relevant provider information for Credentialing Committee review and approval.
• Escalate provider credentialing and payor issues to the Director as needed.
• Track, generate, and prepare applications to send to providers; research payers and add providers to credentialing reports.
• Review returned application packets for accuracy and communicate updates to providers.
• Review weekly management exception reports to prioritize critical issues and follow up with providers on missing paperwork.
• Send updated credentials to payers and complete payer credentialing applications for new facility locations across multiple states.
• Research state requirements before entering new markets and create standard operating procedures documenting those requirements.
• Work with the Director and stakeholders on new facilities, including enrollment of facilities and individual locations in new markets, and keep stakeholders informed of challenges.
• Coordinate withdrawal-related updates when a provider leaves employment, notifying others when needed.
• Generate payer paperwork for revalidations and begin re-credentialing processes.
• Partner with onboarding and credentialing colleagues and stakeholders to enroll providers and facilities with Medicaid, Medicare, commercial, and managed care plans.
• Maintain provider enrollment processes and credentialing databases, websites, and portals, including CAQH, NPPES, Navinet, Availity, and PECOS.
• Support the Provider Enrollment Department, assist the contracting department with requests, and work with RCM on payer issues related to credentialing.
• Meet with health plans at least monthly, or more often if needed, to obtain provider status updates and address claims issues such as holds and denials.
• Work with payors to support timely enrollment and active status, and escalate trends and issues to RCM, operations, and other stakeholders.

Benefits

• Mileage reimbursement, if applicable, at the current IRS mileage reimbursement rate.
• Calm subscription for all employees.
• Training for employees who are new to the field.
• Opportunity to have a daily impact and help save lives.

What This Job Offers

• Job Type: Part-time
• Education Level: No Education Listed