Commonwealth Care Alliance
Provider Enrollment Specialist (Remote)
This job is now closed
Job Description
- Req#: 5001038941606
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Competitive pay up to the highest amount mentioned in the job description
- Opportunity for career advancement and growth within the organization
- Remote work opportunity in Boston, Massachusetts
- Supportive and constructive work environment
- Chance to make a positive impact on provider satisfaction and enrollment process
What to Expect (Job Responsibilities):
- Enroll and re-enroll individual practitioners using Credentialing Software
- Outreach to providers via email, phone, and in-person to obtain necessary documentation
- Facilitate paperwork completion with employed clinicians and Clinical Directors
- Monitor work inventory and ensure timely processing
- Assist with data entry and data integrity projects for provider demographics
What is Required (Qualifications):
- High School Diploma or equivalent
- Two years' experience in a provider enrollment setting
- Professional demeanor and strong communication skills
- Proficiency in Microsoft Office Suite
- Detail-oriented, organized, and able to meet deadlines
How to Stand Out (Preferred Qualifications):
- Experience enrolling clinicians in Medicare, MassHealth, private insurance, and hospitals
#HealthcareServices #ProviderEnrollment #CareerOpportunity #RemoteWork #BostonMA
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Based in Massachusetts, Commonwealth Care Alliance (CCA) is a not-for-profit, community-based healthcare organization dedicated to improving care for individuals who are dually eligible for MassHealth (Medicaid) and Medicare with complex medical, behavioral health and social needs, including persons with disabilities. CCA offers two health plans: Senior Care Options (HMO SNP), for individuals ages 65 and over who have Medicare and MassHealth Standard or only MassHealth Standard; and One Care, a Massachusetts demonstration program for dual eligible individuals ages 21 to 64. These comprehensive health plans provide all the services covered under Medicare and MassHealth, and other benefits as determined necessary by an inter-professional care team in conjunction with CCA’s preferred provider network. For four consecutive years, CCA’s One Care plan received a top consumer rating for quality and access in the Consumer Assessment of Healthcare Providers and Systems (CAHPS) national survey of Medicare-Medicaid Plans (2016, 2017, 2018, and 2019), administered by the Centers for Medicare & Medicaid (CMS).
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