Credentialing & Enrollment Specialist

Benefits

Parental leave

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Non-birth-parent leave

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Family-building benefits

• Fertility benefits: Not verified
• Adoption assistance: Not verified
• Surrogacy assistance: Not verified

Mental health support

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Relocation assistance

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Childcare support

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Learning budget

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Verification

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Salary

$57K-$62K From the posting source

401(k) match

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Role

Seniority

Mid From the posting source

Schedule

Shift type

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Weekend work

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Company

Equity

Offered Verified - SEC 10-K source

Application

Cover letter

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Assessment

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Deadline

Not stated

Where they hire

State eligibility is not yet verified.

About this role

Credentialing & Enrollment Specialist Houston, TX, United States Company Description: Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Job Description: *This full-time position is a hybrid role that requires working in the office on Tuesdays and Thursdays at 1200 Binz St Suite 1490 Houston TX 77004. Mon, Wed, and Fri are typically work from home but may be in office on occasion.* The Credentialing and Enrollment Specialist is responsible for all aspects of the credentialing, re-credentialing and privileging processes for all launching of all providers in Privia's high-performance medical group. Primary Job Duties: Ensure protocols are being followed to ensure timely resolution and completion of payor enrollment to ensure no loss of revenue due to untimely payor enrollment Follows guidelines in alignment with all health plan requirements as related to the provider certification and credentialing. Reviews and streamlines processes and workflows for the on-boarding department, using automation, where appropriate Works with both internal and external stakeholders to resolve complex provider enrollment issues, including resolving claim denials related to provider enrollment Supports special projects requiring knowledge of delegated and

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