Role Description The Sr. Provider Enrollment Specialist plays a critical role in ensuring healthcare providers are properly enrolled and credentialed with insurance payers, regulatory bodies, and internal systems to facilitate timely reimbursement and compliance. This position is responsible for overseeing the entire provider enrollment lifecycle—including initial credentialing, recredentialing, and demographic updates—while serving as a subject matter expert for internal teams. The Sr. Specialist will work collaboratively with payer representatives, provider relations, and revenue cycle teams to resolve complex enrollment issues and improve enrollment timelines, contributing to overall revenue integrity and operational efficiency. Provider Enrollment & Credentialing: - Manage and execute provider enrollment and recredentialing processes with commercial, Medicare, and Medicaid payers. - Ensure accurate and timely submission of enrollment applications and supporting documentation. - Monitor enrollment timelines, proactively following up with payers to avoid delays in reimbursement. - Maintain current knowledge of payer enrollment requirements, regulations, and industry standards. Data Management & System Updates: - Accurately enter and maintain provider demographic and credentialing information in internal databases and payer portals. - Audit provider files and systems regularly to ensure accuracy and compliance. - Track and manage license renewals, CAQH attestation, NPI registrations, and other provider data elements required for successful enrollment. - Maintain acute understanding of billing and schedule system enrollment configurations. Issue Resolution & Payer Communication: - Act as a liaison between payers, providers, and internal stakeholders to resolve enrollment issues, rejections, and lapses in network participation. - Escalate complex issues appropriately while maintaining thorough documentation and communication. - Collaborate with billing and denial management teams to resolve enrollment-related claim denials. Compliance & Documentation: - Ensure compliance with all federal, state, and payer-specific guidelines related to provider enrollment. - Maintain detailed and organized records of all enrollment activities, correspondence, and approval letters. - Support audits and internal reviews by providing documentation and insight into provider status. Collaboration & Cross-Functional Support: - Partner with Revenue Cycle, Provider Relations, and Credentialing teams to align enrollment efforts with organizational needs. - Provide subject matter expertise and mentorship to junior team members regarding enrollment best practices and processes. - Contribute to ongoing process improvements to enhance the accuracy, speed, and efficiency of provider onboarding and enrollment. Qualifications - Associate’s degree in Healthcare Administration, Business, or related field required (Bachelor’s preferred). - Minimum of 3-5 years of experience in provider enrollment, credentialing, or revenue cycle operations. - Strong understanding of payer enrollment processes for commercial, Medicare, and Medicaid plans. - Experience working with provider enrollment portals (e.g., PECOS, CAQH, Availity) and electronic credentialing systems. - Ability to analyze enrollment data and resolve complex payer or application issues effectively. - Proficiency in Microsoft Office Suite and experience with healthcare information systems (EHR, practice management systems). Preferred Qualifications - Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM). - Experience in a multi-specialty medical group or health system. Pay The base salary range for this full-time position is $60,500 – $79,200 per year in the United States. This posted range reflects the portion of our internal salary band that is currently funded for new hires in this role across our standard labor markets (Zones A–C). For context, these markets include: - Zone A (e.g., Phoenix AZ, San Antonio TX, Columbus OH, Charlotte NC) - Zone B (e.g., Chicago IL, Denver CO, San Diego CA, Houston TX) - Zone C (e.g., Los Angeles CA, Seattle WA, Washington, D.C., Boston MA) At this time, we are not budgeting for hires in higher-cost Zone D markets (e.g., San Francisco Bay Area CA, New York City NY, San Jose CA) for this role. Within this range, individual pay is determined by work location, skills, experience, and internal equity. We use structured salary bands and geographic zones based on cost of labor to keep pay fair and consistent. Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry. Benefits - Remote-first culture - 401(k) savings plan through Fidelity - Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance) - Paid Time Off ("PTO") and Discretionary Time Off (“DTO”) - 12 weeks of 100% Paid Parental leave - Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies. - Work-From-Home reimbursement to support team collaboration home office work Company Description Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.

• Conduct mental health evaluations for patients with neurodegenerative diseases • Deliver counseling therapy services to patients, families, and caregivers via individual, family, and group therapies using evidence based treatments • Collaborate with Neurologists, behavioral health clinicians, Psychiatrists, Psychologists and care navigators to deliver comprehensive, person-centered care that integrates cognitive, behavioral, and functional insights into every treatment plan • Deliver evidence-based interventions (e.g., CBT, ACT, mindfulness, supportive therapy, grief counseling) tailored to patients with neurological illness and their caregivers • Facilitate caregiver support groups and psychoeducation sessions focused on coping, stress reduction, and resilience building • Identify psychosocial needs and link patients and families with community resources, support programs, and social services • Maintain HIPAA compliance, follow telehealth best practices, and adhere to ethical and professional standards of practice

Role Description Join our team as a night shift, full-time, Virtual Care Registered Nurse (RN) in Tyler, TX. - Responsible and accountable for the practice of Nursing for assigned patients or tasks via a remote interface. - Must be able to manage multiple technology platforms and develop collaborative relationships with patients, families, physicians, and other staff via remote platforms. - Adheres to policies and procedures and regulations to ensure compliance and patient safety. Qualifications - Current RN license or current license deemed acceptable by the applicable State Board of Nursing. - BLS certification must be obtained within 14 days of hire or transfer into the role and prior to providing direct patient care. - Minimum of three (3) years’ experience in medical/surgical inpatient nursing. - Candidate must live in the state of Texas. - Preferred: Bachelor’s Degree in Nursing. Benefits - Career growth opportunities. - Tuition assistance. - Resources that support wellness, education, and financial well-being. - Paid time off. - Comprehensive health benefits. - Supportive, inclusive culture where you are valued and cared for. Company Description UT Health East Texas is comprised of: - 10 hospitals. - More than 90 clinics. - Nearly 7,500 employees. - Over 1,000 licensed inpatient beds. We provide healthcare services through our hospitals, clinics, Level 1 trauma facility, air emergency fleet, and EMS service.

Role Description - Educate clients on insurance benefits, coverage options, and financial responsibilities for services rendered. - Meet with clients to review payment options, including uninsured, underinsured, and commercially insured individuals. - Assist clients in applying for Medicaid, insurance programs, financial assistance, and other available resources. - Determine eligibility and apply grants, funding sources, and sliding fee scale programs when appropriate. - Coordinate referrals, advanced beneficiary notices (ABNs), and other required financial documentation. - Provide compassionate and professional customer service while addressing financial concerns and questions. - Establish payment plans tailored to clients' financial situations and monitor compliance. - Collect self-pay balances and follow up on outstanding accounts. - Post client payments accurately and reconcile daily cash and payment transactions. - Review aging reports and conduct proactive outreach regarding outstanding balances. - Assist with monthly collection efforts for newly discharged clients. - Participate in collections review meetings and assist in assigning accounts to external collection agencies when appropriate. - Support all phases of the collections process while maintaining positive client relationships. Qualifications - Minimum 1 year of experience in healthcare administration, patient financial services, medical billing, insurance verification, or revenue cycle management. - Knowledge of insurance benefits, Medicaid eligibility, patient collections, and payment plan administration. - Strong customer service, communication, and problem-solving skills. - Experience with electronic health records (EHR), billing systems, and Microsoft Office applications. - Ability to handle confidential information with discretion and professionalism. Requirements - Must be proficient in speaking and writing English very clearly. - Must have relevant work experience. - Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding [mandatory]. - Must be available for video meetings with your camera on (when needed). Technical Requirements - Device: Reliable laptop or desktop computer. - Internet: High-speed connection (minimum 25 Mbps). - Audio: Noise-canceling headset. - Video: Webcam for virtual meetings. - Workspace: Quiet, professional environment. Benefits - Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication. - Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. - HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. - Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. - Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule. - Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client. - Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. - Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.