CAQH Provider Enrollment Specialist - Healthcare - job 2 of 2

At XiFin, a culture of inclusivity is in our very fabric. We believe that this culture not only creates a more equitable and functional workplace, but also enhances our team members' work experiences by promoting creativity, innovation, and collaboration. Won’t you bring your unique talents and perspectives and join us to deliver The Power To Do Good?

Who are we looking for?

The Client Services department provides insurance enrollment, credentialing, and contracting services for its radiology medical billing clients. You will be responsible for preparing and attesting to CAQH provider profiles, responding to medical billing demographic requests, and maintaining the radiology provider’s credentialing files. In this position, you will interact with employees at all levels of the organization, insurance companies/payors, clients, and their staff. The ideal candidate will be highly detailed and adept at navigating numerous online systems and resources. You’re a strong communicator with internal and external stakeholders, have solid organizational skills, and can apply your analytical skills for problem solving. You're also able to think critically about workflow processes and recommend how to improve processes.

How much experience are you looking for?

You may be hired as an Associate CAQH Provider Enrollment Specialist, or a CAQH Provider Enrollment Specialist based on your depth of skill and breadth of experience.

What does this position pay?

Compensation is determined by several factors which may include skillset, experience level, and geographic location.

The range for this position is $17.50 to $20.00, hourly base compensation, based on level of hire. Please note this range is an estimate; actual pay may vary based on qualifications and experience.

What will you do?

• Create and update radiology providers in our credentialing software
• Create and update CAQH profiles

• Prepare and submit insurance payor applications on behalf of the providers and groups

• Respond to insurance payor demographic requests

• Prepare, submit & follow up on insurance payor applications on behalf of radiology providers and groups

• Maintain radiology provider files on the network

What’s in it for me?

• Comprehensive medical benefits with telehealth services, mobile app, supplemental health plans and spending accounts coupled with tax advantages
• Tiered prescription drug plan coverage with varying levels of payment and mail-order, competitive pricing and overt-the-counter alternatives
• Dental PPO plan designed to give you the freedom to receive dental care from any licensed dentist of your choice
• Vision PPO plan providing the highest level of services from in-network vision providers and doctors
• Paid vacation accrual, company holidays, and floating holidays to unplug and unwind
• Free and confidential resource for childcare and eldercare support, legal services and identity theft protection, financial support, education materials, and mental health support administered through an Employee Assistance Program (EAP)
• Retirement planning through a 401k through PRINc with company match
• Life and AD&D coverage to provide peace of mind via financial protection and security
• Tuition Assistance to support your professional development
• Legal services with the ability to speak with an attorney regarding any personal legal matter
• Identify Theft Protection encompassing credit report and credit score analysis, 24/7 continuous monitoring with alerts, and comprehensive restoration services
• XiFin’s BeWell Program focusing on four pillars of health and well-being: physical wellness, mental wellness, financial wellness, and social wellness

What education and experience do you need?

A combination of the following education and experience factors will be considered:

• Experience with customer-facing teams
• Experience in Provider Enrollment, Credentialing, healthcare billing and medical terminology
• Working knowledge of Microsoft Office Suite
• Excellent organizational skills
• Excellent oral, written, and interpersonal communication skills

Why XiFin?

XiFin, Inc. is a San Diego based, private equity backed, innovative software and services company dedicated to unlocking a world where healthcare operates with efficiency. We help patients and healthcare organizations make informed, optimized decisions to deliver the best care and patient outcomes possible.

Our OmniSYS pharmacy division, headquartered in Dallas, Texas was created through acquisition with a mission to create software driven solutions for pharmacies, pharmacists, and the patients they serve.

We are self-driven innovators making a difference in the healthcare technology space.

If you are an individual with a disability and would like to request a reasonable accommodation as part of the application or recruiting process, please contact us at 858-436-2901.

EEO Statement

XIFIN is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.