Provider Enrollment Specialist - Preferred Therapy Providers
Tasks
- Collaborate with credentialing recruitment and sales to support weekly enrollment process
- Create training materials for enrollment processes
- Follow HIPAA and privacy and security regulations
- Identify recommend and implement process improvements and automation
- Maintain accurate enrollment records and directories
- Manage provider and facility enrollment with health plans and payors
- Prepare and submit enrollment reports and respond to payer inquiries
- Resolve enrollment discrepancies with payors and providers
- Review and maintain enrollment data for accuracy timeliness and data quality
Perks/Benefits
- 401k with company match
- Dental insurance
- Employer paid medical insurance
- Leadership development
- Paid Holidays
- Paid time off
- Professional development
- Remote work option
- Vision insurance
Skills/Tech-stack
Automation | Claims support | Credentialing | Customer Service | Data Accuracy | HIPAA | Healthcare Compliance | Payor relations | Process Improvement | Provider enrollment
Education
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