Provider Enrollment Specialist - Remote

Job Number : 24-12373

Job Summary : The Provider Enrollment Specialist processes, monitors and maintains the provider enrollment and re-enrollment process in a timely and compliant manner, in accordance with department procedures, contracted commercial and government payors under the supervision of the Credentialing Coordinator.

The specialist obtains, reviews, and submits enrollment applications with supporting documentation to enroll providers and maintain their enrollment.

The specialist will communicate with internal and external customers, ensuring accuracy of provider applications and creating efficiency in the enrollment process.

The specialist will assist with initial credentialing and recredentialing of providers as well as licenses and other time limited documents renewals, and information updates including terminations.

Assists with problem identification and timely resolution of provider enrollment issues with Medicaid, Medicare, behavioral health plan provider representatives, employees, contractors, and other internal departmental staff to ensure timely initial and on-going enrollment.

Maintain Council for Affordable Quality Healthcare (CAQH) and / or assist providers with CAQH as needed to keep information and attestations updated.

Regular, predictable attendance is an essential requirement for this position. Other duties may be assigned. May require a flexible work schedule.

Integral Care employees are to be committed to fostering an open, inclusive, and supportive environment that welcomes and embraces diversity in all forms.

Integral Care defines diversity broadly to include race, ethnicity, abilities (mental / physical), gender, gender identity, immigrant status, language, religion, sexual orientation, socioeconomic status, veteran status, age, and other groups.

Integral Care employees are to strive to maintain a trauma sensitive workplace, to embrace trauma sensitive and informed practices, and to foster a supportive and welcoming environment of care.

Education : Preferred :

Preferred :

Graduated from an accredited college or university with a Bachelor's degree with a major specialization in Human / Behavioral / Social Services or related field.

Experience : Required :

Required :

Three years of provider enrollment and credentialing experience, four plus years preferred.

Preferred :

• Experience with CACTUS (symplr PROVIDER) credentialing software.
• Experience with CAQH database.
• Experience with Medicare (PECOS) and Texas Medicaid (TMHP) enrollment process.
• Extensive knowledge of Microsoft Word and Excel.

Hours : Full-Time.

Workdays : Monday - Friday.

Workhours : 8 : 00AM - 5 : 00PM.

Salary : $56,513 annually.

Why join us : Integral Care has proudly served Travis County residents for the past 50 years. As the largest provider of behavioral health services in Travis County, we are dedicated to improving the lives of adults and children living with mental illness, substance use disorder and intellectual and developmental disabilities.

By joining our team, you will find rewarding work every day alongside people who have as much compassion as you. Join us and together we can help improve the quality of life for the people we serve.

Imagine your career at Integral Care!

Employee Benefits :

Medical, Dental and Vision insurance

Generous vacation / holiday / sick leave

Life and Short-term / Long-term Disability Insurance

Employee Assistance Program (EAP)

403(b) retirement account

Gold's gym membership discount

Mileage reimbursement

Integral Care strives to maintain a diverse workforce. We encourage all to apply, including those who have knowledge and / or experience working with underserved populations, including Asian and Pacific Islander, Black / African American, Hispanic / Latino, and LGBTQA communities.

All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, national origin, sexual orientation, gender identity, disability, veteran status, sex or age.

For specific positions, additional compensation may be available to those who are bilingual in both English and one of the following languages : Spanish, Chinese, Vietnamese, Korean, or Burmese.(PM16)