Provider Enrollment Specialist
Tasks
- Collect provider data
- Comply with Medicare and Medicaid requirements
- Comply with NCQA standards
- Coordinate with practitioners and payers
- Follow up on enrollment application status
- Initiate manage provider enrollments
- Maintain HIPAA confidentiality
- Maintain enrollment logs
- Maintain managed care paperless files
- Maintain provider portals
- Manage CAQH
- Manage Wybtrak
- Prepare enrollment applications
- Resolve enrollment and credentialing issues
- Update fee schedules
- Update maintain enrollment status reports
Perks/Benefits
- 401k
- Career growth
- Child care assistance
- Continuing education funds
- Dental insurance
- Eye care discounts
- Medical insurance
- Paid Holidays
- Paid time off
- Pet insurance
- Sick time
Skills/Tech-stack
CAQH | Fee Schedules | HIPAA | MS Office | Managed care | Medicaid | Medicare | NCQA | Network Management | Provider credentialing
Education
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