Provider Enrollment Coordinator - REMOTE jobs in United States
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Integrated Dermatology · 17 hours ago

Provider Enrollment Coordinator - REMOTE

Integrated Dermatology is a leading national dermatology practice that acquires and partners with dermatology practices across the United States. They are seeking a Provider Enrollment Coordinator responsible for executing provider credentialing and payer enrollment activities across various payers in a non-delegated credentialing environment.

Health CareMedical

Responsibilities

Execute credentialing and enrollment workflows for: New providers joining existing practices, New and relocated practice locations, New groups, acquisitions, and TIN transition projects
Prioritize Medicare enrollment across all applicable workflows
Create and maintain CPSRs (Credentialing Provider Status Reports) to track payer progress and communicate updates
Send provider welcome communications within required timeframes, including instructions for CAQH, CMS systems, and document submission
Coordinate payer and CMS surrogacy requests as required
Maintain accurate, current provider and practice data in: Credentialing Database / Practice Master Sheet, CAQH Provider Profiles, CMS Systems (PECOS & NPPES), Secure document repositories (OneDrive / SharePoint)
Create, update, and manage payer-specific and administrative tasks in Wrike
Ensure all credentialing files are complete, organized, and audit-ready
Complete Medicare revalidations, Medicaid recredentialing, and commercial recredentialing per payer schedules
Monitor payer portals and respond to interim or ad-hoc recredentialing requests
Proactively establish future assignments based on next revalidation cycles
Process provider and location terminations within payer-required timeframes
Coordinate with Operations and Revenue Cycle Management to minimize claims disruption
Manage provider demographic updates (e.g., name changes) and ensure consistency across all systems and payers
Resolve practice and internal inquiries submitted via Wrike with clear, timely communication
Support Revenue Cycle Management with credentialing-related billing inquiries
Address credentialing-related RCM holds and escalate unresolved issues appropriately

Qualification

Provider credentialingPayer enrollmentCAQHPECOSNPPESMicrosoft ExcelOrganizational skillsPayer follow-upWritten communicationDocumentation skillsTeam collaboration

Required

1–3 years of provider credentialing and payer enrollment experience (Medicare required; Medicaid and commercial preferred)
Hands-on experience with CAQH, PECOS, NPPES, and payer portals
Strong organizational skills with proven ability to manage high-volume, multi-state workloads
Excellent written communication, payer follow-up, and documentation skills
Proficiency with Microsoft Excel, Outlook, Word, and workflow tools
Ability to work independently while contributing effectively within a team environment

Preferred

Credentialing physician practices: 1-3 years
Microsoft Excel: 3 years
CAQH: 3 years
High School Diploma or equivalent

Company

Integrated Dermatology

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Integrated Dermatology Group is a medical practice company specializing in dermatological care.

Funding

Current Stage
Late Stage

Leadership Team

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Tushar Ramani
Chief Executive Officer
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Nicholas Anguish
President
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Company data provided by crunchbase