Sr. Provider Enrollment Specialist
Tasks
- Audit provider files and systems for accuracy
- Collaborate with revenue cycle provider relations and credentialing teams
- Document enrollment activities and correspondence
- Ensure compliance with federal state and payer guidelines
- Escalate complex enrollment issues
- Execute provider credentialing and recredentialing
- Maintain provider demographic and credentialing data
- Manage provider enrollment lifecycle
- Monitor enrollment timelines and follow up with payers
- Provide subject matter expertise and mentorship
- Resolve payer enrollment rejections and lapses
- Submit enrollment applications and supporting documentation
- Support audits and internal reviews
- Track license renewals CAQH attestation and NPI registration
Perks/Benefits
- 401k savings plan
- Medical, dental & vision coverage
- Paid parental leave
- Paid time off
- Remote-first culture
- Work from home reimbursement
Skills/Tech-stack
Availity | CAQH | Commercial Payers | Data Auditing | Data entry | Data interchange | EHR | Electronic Data | Electronic Data Interchange | Electronic credentialing | Healthcare Information | Healthcare information systems | Information Systems | Management systems | Medicaid | Medicare | Microsoft Office | NPI | PECOS | Practice management | Practice management systems
Education
Associate Degree | Bachelor of Arts | Bachelor of Engineering | Bachelor of Science
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