Researches and resolves provider payer enrollment issues with CMS and other payers.
Manages completion and submission of Medicare, Medicaid, and third-party applications.
Tracks revalidation dates and maintains provider demographics in enrollment systems.
Ventra is a leading business solutions provider for facility-based physicians, focusing on Revenue Cycle Management. They partner with private practices and hospitals to deliver data-driven solutions, fostering a collaborative culture with a performance-based incentive plan.
Serve as the primary contact for incoming patient inquiries, guiding families through the enrollment process with a warm, patient-centered approach.
Manage enrollment documentation, scheduling, and system updates across Salesforce and Athena to ensure timely and accurate processing.
Collaborate with scheduling teams and providers to support families, demonstrate excellent communication, and meet service level agreements.
Cortica is a rapidly growing healthcare company pioneering effective treatment methods for children with neurodevelopmental differences. The team is mission-driven, celebrates diversity, and fosters an inclusive, collaborative culture where every member contributes to the vision of cultivating the full potential of every child.
Process enrollment and billing tasks through multiple channels while managing an assigned caseload.
Develop a comprehensive understanding of Oscar's enrollment and billing processes, tools, and regulations.
Monitor work-in-progress, escalate issues, and support process improvement initiatives.
Oscar is a health insurance company built around a full-stack technology platform and a relentless focus on serving its members. Founded in 2012, Oscar behaves like a doctor in the family, and fosters a culture where people can be their most authentic selves.
Manage provider system enrollments and maintain accurate CAQH profiles.
Serve as the primary credentialing point of contact for providers and monitor enrollment requirements.
Develop and maintain standard operating procedures for credentialing workflows.
Sailor Health is revolutionizing mental health care for older adults, addressing one of the fastest-growing and most underserved healthcare segments in America. As a remote-first team, they focus on providing compassionate, effective care to over 60 million seniors, fostering a culture of growth, ownership, and collaboration.
Own the end-to-end process for enrolling new providers with health plan partners.
Work closely with new clinical hires and third-party vendor to manage license applications and renewals.
Identify opportunities to improve licensing, credentialing, and enrollment processes to shorten time for clinicians to start seeing patients.
Pomelo Care is a virtual medical practice providing proactive, 24/7 clinical care for women and children across pregnancy, postpartum, pediatrics, menopause, and perimenopause. The company is a well-funded startup with a collaborative, data-driven culture focused on improving outcomes for all mothers and babies.
Manage provider data and generate reports to support network operations and compliance.
Validate and audit provider records to ensure data accuracy and regulatory alignment.
Collaborate with cross-functional teams to resolve configuration issues and support network projects.
This company operates in the healthcare sector, focusing on provider network administration and data management. It fosters a collaborative, detail-oriented remote work environment that values data accuracy and continuous quality improvement.
Prepare and review credentialing and recredentialing applications, provider updates, termination letters, and TIN change documents.
Conduct biweekly follow-up with payers, track application progress, and maintain detailed records in internal systems and dashboards.
Support team projects such as new provider onboarding, payer roster updates, and quality reviews while protecting confidential information.
Specialty Dental Brands is a dental support organization that partners with pediatric dentistry, orthodontics, and oral surgery practices across the country, empowering teams with technology, resources, and support. The company values a people-first culture, collaboration, continuous learning, and creating positive experiences for providers, practices, and employees.
Support the full credentialing lifecycle, from initial applications to renewals and ongoing maintenance.
Manage provider enrollment processes with payers, including application submission, follow-up, and status tracking.
Keep provider records accurate and audit-ready while ensuring compliance with regulatory standards.
Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to improve outcomes for people with cancer. It is a tech-native startup that values human connection, diversity, and inclusion.
Own Medicare billing, provider enrollment, and compliance for the group.
Review and release every claim before it goes to Medicare, checking codes and documentation.
Support physicians and their offices with billing questions, onboarding, and payment reports.
Integrated Complex Care Associates (ICC) is a California physician group that serves patients with complex health needs, led by each patient's own primary physician. The team is building its billing function from the ground up, so this role is the first full-time hire and offers a hands-on, independent culture.
Own end-to-end provider onboarding, credentialing, and recredentialing workflows.
Prepare and submit state licensing and payor enrollment applications.
Maintain compliance records and communicate status updates to stakeholders.
Sprinter Health brings healthcare directly to patients' homes, aiming to improve access to preventive and chronic care. The company has supported over 2 million patients across 22 states, raised over $125M, and maintains a 92 NPS with a team of clinicians, technologists, and operators.
Provides administrative support to clinical teams including building medical management records and managing authorizations.
Conducts fax and telephonic outreach to members and providers for status updates and engagement.
Supports compliance monitoring and documentation in the medical management system.
Capital Blue Cross is a health insurance provider dedicated to improving the health and well-being of its members and communities. They are recognized as one of the "Best Places to Work in PA" with a culture focused on support, flexibility, and community involvement.
Manage a team of licensing and credentialing specialists, overseeing end-to-end provider enrollment with states and health plans.
Own the enrollment strategy across clinical specialties, payers, and geographic states to ensure coverage for midlife patients.
Leverage data to proactively identify gaps in process and clinician coverage, driving process improvements.
Pomelo Care is a leading virtual medical practice for women and children, offering comprehensive care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. It is a fast-moving, well-funded startup with a collaborative, patient-first culture.
Preparing billing and registration worksheets while collecting and verifying demographic information.
Contacting insurance companies as needed and submitting daily and monthly statistics.
Providing administrative support to physicians, the Medical Director, and the Corporate Office.
Pediatrix Medical Group is a physician-led provider of highly specialized health care for women, babies and children. It is one of the nation's largest multi-specialty medical groups, with a team-oriented culture focused on clinical excellence.