Enrollment and Credentialing Specialist

Enrollment and Credentialing Specialist

About Remo

Remo is building the new standard of dementia care. As a virtual provider, our expert clinical team designs care around patient and family needs (instead of a one-size fits all approach). Our care model empowers patients to age in place, surrounded by those they love. We also empower family caregivers with a vibrant community of other caregivers, expert content, and tools to manage the path ahead. With Remo, caregivers get the support they deserve.

About the Role

Our Enrollment and Credentialing Specialist will play an integral role in our ability to execute our mission by implementing and scaling our virtual care model. You will be responsible for internal credentialing and enrollment of providers with designated payers across multiple specialties and states. If you have  the skills and experience required and are  passionate about improving the standard of dementia care, we’d love to hear from you!

What You’ll Do 

• Be the point of contact for group and practitioner credentialing and re-credentialing needs.

• Develop and maintain relationships with practitioners, site and program directors, and network managers at various payer sources.

• Stay up to date with NCQA Policies and Procedures and maintain information on yearly changes and updates.

• Review for accuracy and ensure that appropriately completed credentialing and re-credentialing applications are submitted on time to every contracted payer for each employed or contracted Physician, Practitioner, and other licensed providers (MD/DO, RN, PharmD, LCSW, etc.).

• Conduct Primary Source Verifications for all employed or contracted Physicians, Practitioners, and other licensed providers (MD/DO, RN, PharmD, LCSW, etc).

• Prepare Credentialing files to be presented to the Credentialing Committee for approval.

• Ensure and maintain active Medicare and Medicaid enrollments for all qualified Physicians, Practitioners, and licensed providers.

• Complete Group and Provider enrollment applications for multiple Payers across multiple States.

• Respond promptly to all written, verbal, and electronic payer requests regarding missing or additional information necessary to complete the credentialing/re-credentialing process for each physician, practitioner, or other licensed provider.

• Accurately input and maintain enrollment and credentialing data in the Remo credentialing and enrollment database.

• Maintain copies of current state licenses, DEA certificates, malpractice coverage, and other required credentialing documents for all providers in CAQH and other required databases.

• Assist with special projects.

• Participate in Activities Management meetings/calls as needed.

You May Be a Good Fit If You

• Have 2-3 years of Group and Provider enrollment  experience.

• Are familiar with multiple enrollment requirements with multiple payers within multiple states.

• Have a strong understanding of Medicare and Medicaid lines of business and enrollment requirements.

• Are a self-starter who takes initiative in researching enrollment requirements for submission.

• Have strong organizational skills, attention to detail, and the ability to work effectively in a team environment.

• Have excellent communication and interpersonal skills.

Benefits 

• 100% Company-paid medical premiums for you and your dependents on our Aetna and Kaiser plans with HSA options

• Dental and vision plans (50% company-paid premium on employee’s dental plan)

• Dependent care FSA

• 100% 401(k) match of up to 4%

• $80 / month stipend for cell and wifi

• 20 days of PTO and 11 paid holidays 

• 16 weeks fully paid parental leave for birthing parents and 8 weeks for non-birthing parents

• Bereavement leave and pregnancy loss leave

• Short-term and long-term disability insurance

• Life insurance

• Critical illness, accident, and hospital indemnity insurance

• Pet insurance

• Legal advice

• Identity theft protection

• Doctegrity for you and your household

At Remo Health, we value diversity in the workplace because it allows us to better understand and meet the needs of our customers and the communities we serve. We want to ensure every job applicant is treated fairly and with respect regarding race, national or ethnic origin, religion, age, gender, sexual orientation, or disability. If you require any support in the application process, including disability accommodation, please contact hr@remo.health.
We use E-Verify to confirm the identity and employment eligibility of all new hires: Participation Poster (PDF), Right to Work Poster (PDF). Background checks are required for all new hires.