Provider Enrollment Specialist
Tasks
- Communicate with insurance companies
- Coordinate temporary provider enrollments
- Follow up with payers
- Generate enrollment status reports
- Investigate out of network claims issues
- Maintain credentialing records
- Manage recredentialing timelines
- Monitor enrollment status
- Prepare payer enrollment applications
- Resolve enrollment and credentialing issues
- Submit payer enrollment applications
- Support audits
- Track payer enrollment applications
- Update provider demographic information
Perks/Benefits
Skills/Tech-stack
Availity | Billing | CAQH | Credentialing software | Customer Service | Cycle management | Microsoft Office | NPI | Revenue Cycle | Revenue Cycle Management
Education
Associate Degree | Bachelor of Science | High School Diploma
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