Provider Enrollment Specialist II
Auburn Hills, Michigan, United States
USD 40K-55K (estimate) Entry-level Full Time
Tasks
- Communicate provider status to providers and staff
- Comply with state and federal regulations
- Enroll new providers
- Follow up on assigned accounts
- Handle credentialing and privileging inquiries
- Investigate enrollment discrepancies
- Maintain confidentiality
- Maintain insurance plan participation lists
- Maintain licensure and insurance certificates
- Manage enrollment timelines
- Notify plans of provider changes
- Notify plans of provider status changes
- Prepare enrollment applications
- Re credential providers
- Resolve accounts receivable
- Resolve enrollment application issues
- Resolve provider denials with appeals
- Respond to enrollment inquiries
- Review pending enrollments
- Scan and store provider documents
- Send provider effective status updates
- Update provider participation status
- Validate provider information
Perks/Benefits
- N/A
Skills/Tech-stack
Accounts Receivable | Credentialing | Data Validation | Data entry | Document Management | Insurance verification | Medicaid | Medicare | Recredentialing | Regulatory Compliance
Education
N/A
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