Provider Enrollment Specialist
Tasks
- Complete and submit applications to health plans
- Enroll practitioners in health plans
- Ensure enrollment timeliness and target start dates
- Escalate enrollment issues to management
- Follow up until enrollment is complete
- Maintain provider profiles in CAQH
- Maintain provider profiles in IntelliCred
- Monitor delegated agreement enrollment reports
- Validate plan enrollment forms
- Verify provider information accuracy
Perks/Benefits
- N/A
Skills/Tech-stack
Adobe Acrobat | CAQH | Credentialing | Excel | Healthcare Compliance | IntelliCred | Medical terminology | OnBase | Word
Education
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