Provider Enrollment Specialist at Amwell (Remote)

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Company Description

Amwell is a leading telehealth platform in the United States and globally, connecting and enabling providers, insurers, patients, and innovators to deliver greater access to more affordable, higher quality care. Amwell believes that digital care delivery will transform healthcare. We offer a single, comprehensive platform to support all telehealth needs from urgent to acute and post-acute care, as well as chronic care management and healthy living. With over a decade of experience, Amwell powers telehealth solutions for over 150 health systems comprised of 2,000 hospitals and 55 health plan partners with over 36,000 employers, covering over 80 million lives.

Brief Overview:

The Provider Enrollment Specialist is responsible for the completion of all enrollment applications (including Medicare and Medicaid) for all providers including, but not limited to re-validation, reassignment of benefits, and renewal of appointment. The Provider Enrollment Specialist ensures all provider information is complete and accurate and all enrollment information is maintained and current within Amwell’s database and all other databases, including Medicare, Medicaid, CAQH, and others as required. This position requires the candidate to understand and integrate the hospital privileging process in with the enrollment of the provider into Medicare, Medicaid and commercial payors.

Core Responsibilities:

  • Complete the enrollment application and enrollment of providers across all states as required by the hospital contract.
  • Assist with the on-boarding process (internally/externally) to include and obtaining enrollment within established timelines.
  • Ensure physician Medicare and Medicaid numbers along with payor credentialing requirements are renewed timely in support of the state guidelines for compliance
  • Ensure departmental guidelines support all contracted hospital privileges and procedures
  • Identify and analyze the physician information received to ensure accuracy
  • Assist in the credentialing process by entering/logging/scanning information into credentialing system for initial, updated, and maintenance processes. MDStaff experience preferred

Ensure provider CAQH profiles are updated in a timely manner; work with providers to ensure attestations and documents are current.

  • Track the enrollment application process in order to promote compliance, process enhancement, and efficiency
  • Maintain copies of current state licenses, DEA certificates, malpractice coverage and any other required Provider Enrollment documents for all providers
  • Makes leadership aware of any potential derogatory issues identified during the Provider Enrollment process and works in collaboration with practitioner to document/resolve the issue
  • Reads and abides by the company’s code of conduct, ethics statements, employee handbook(s), policies and procedures and other mandates, including participation in mandatory training programs.
  • Other duties as assigned

Qualifications:

  • Bachelor’s Degree preferred
  • Physician Provider Enrollment experience required- at least 2 years of direct experience submitting Provider Enrollment applications to Medicare, Medicaid national and local commercial payors for facility-based physicians
  • Hospital Credentialing experience a bonus
  • MD Staff Experience preferred
  • Experience with Credentialing Accreditation by Joint Commission or National Committee for Quality Assurance an added benefit

Additional information

Your Team:

Amwell Psychiatric Care supports facility based behavioral healthcare services nationally.  You will work with a team of 5 credentialing coordinators to support payor credentialing for all Amwell Psychiatric Care clients. Amwell Psychiatric Care is based out of Woodland Hills, CA.

Working at Amwell:

Amwell is changing how care is delivered through online and mobile technology. We strive to make the hard work of healthcare look easy. In order to make this a reality, we look for people with a fast-paced, mission-driven mentality. We’re a culture that prides itself on quality, efficiency, smarts, initiative, creative thinking, and a strong work ethic. 

Our Core Values include One Team, Customer First, and Deliver Awesome. Customer First and Deliver Awesome are all about our product and services and how we strive to serve. As part of One Team, we operate the Amwell Cares program, which brings needed assistance to our communities, whether that be free healthcare for the underserved or for people affected by natural disasters, support for equality, honoring doctors and nurses, or annual Amwell-matched donations to food banks. Amwell aims to be a force for good for our employees, our clients, and our communities.

Amwell cares deeply about and supports Diversity, Equity and Inclusion. These initiatives are highlighted and reflected within our Three DE&I Pillars - our Workplace, our Workforce and our Community.

Amwell is a "virtual first" workplace, which means you can work from anywhere, coming together physically for ideation, collaboration and client meetings. We enable our employees with the tools, resources and opportunities to do their jobs effectively wherever they are!  Amwell has collaboration spaces in Boston, Tysons Corner, Portland, Woodland Hills, and Seattle.

  • Unlimited Personal Time Off (Vacation time)
  • 401K match
  • Competitive healthcare, dental and vision insurance plans
  • Paid Parental Leave (Maternity and Paternity leave)
  • Employee Stock Purchase Program
  • Free access to Amwell’s Telehealth Services, SilverCloud and The Clinic by Cleveland Clinic’s second opinion program
  • Free Subscription to the Calm App
  • Tuition Assistance Program
  • Pet Insurance
More Information on Amwell
Amwell operates in the Healthtech industry. The company is located in Boston, MA, Reston, VA and Seattle, WA. Amwell was founded in 2022. It has 1170 total employees. To see all 39 open jobs at Amwell, click here.
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