(Remote) Provider Enrollment Specialist

Must live in the US in EST and reside in the Eastern (ET) or Central Time (CT) Zone. Hours: 8:00am to 5:00pm ET. Pay starts: $21–$24/hr.

About the role

Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, and mental health issues. We put behavioral health front and center, providing assistance to people with substance abuse issues, addictions, and mental health concerns. With facilities in various regions of the U.S., we have been furthering this mission since our inception, applying our advanced approach to patient care. Every facility in the Advanced Recovery Systems network strives to provide the highest quality of care, using evidence-based therapeutic models that really work. Our goal is to help men, women, and adolescents live healthy, happy lives without the burden of substance abuse or mental illness.

Responsibilities

• Ensures that all medical and clinical staff are appropriately credentialed with all payers and payer requirements.
• Assists the credential manager in identifying new hire needs to ensure appropriate credentials are in line with payer needs.
• Reviews and prepares payer credentialing applications and recredential applications for completeness and accuracy.
• Works with providers and credentialing department to ensure required information is available to complete processes.
• Works in tandem with ARS Teams (Business Development, Marketing, and Finance) to identify opportunities for company growth in terms of managed care contracts.
• Evaluates and analyzes contract proposals and works with SVP to negotiate best possible contract rates for ARS.
• Direct contact and liaison between payers and ARS facilities as it relates to contracts, addendums, and credentialing needs.
• Conducts quality control audits of files and takes necessary actions to remediate and prevent future errors.
• Prepares reports for internal and external use.
• Works with billing department to address non-participation or dis-enrolled providers.

Requirements

• Minimum of High School Diploma or Equivalent; Bachelor's Degree preferred.
• Minimum three (3) years' experience in provider or payer contracting and credentialing.
• Knowledge of Hospital and/or Behavioral Contracting and Reimbursement.
• CAQH requirements and profiles, credentialing, and re-credentialing applications for facilities and payer contracting.
• Strong computer knowledge.
• This role requires the employee to utilize their own personal computer, meeting expectations of the company's software and virus security standards:
  • Windows 11 with the latest Windows update installed (Chromebooks and Apple computers are not compatible).
  • An "up-to-date" antivirus software.
  • Working camera and microphone.

ARS does offer some reimbursement for remote office equipment.

Benefits

• Health, Vision, Dental.
• Employer Matched 401(k).
• STD, LTD, and Employer Paid Term Life Policy – up to $50k.
• Employer Matched HSA – up to $1500 a year company contribution.
• Employee Wellness Program – reduce employee premiums $40/mo.
• Free MDLive telehealth benefit.
• Paid Time Off – Vacation/Personal/Holiday/Sick.
• Employee Referral Bonus.