Provider Enrollment Specialist
Tasks
- Attend staff meetings and quality audits
- Communicate with payers on application status
- Coordinate provider terminations
- Develop departmental policies procedures and forms
- Notify providers of license expirations
- Participate in payer delegated credentialing audits
- Resolve provider enrollment issues
- Track and follow up enrollment applications
- Update provider data in credentialing software
- Verify provider data quarterly
Perks/Benefits
- 401k match
- Dental insurance
- Employee assistance program
- Flexible scheduling
- Holiday pay
- Life insurance
- Long-term disability
- Medical insurance
- Onsite fitness center
- Paid time off
- Remote work opportunities
- Short-term disability
- Sick leave
- Vision insurance
Skills/Tech-stack
CMS | Cactus | Credentialing | Credentialing regulations | Database Management | Enrollment | Excel | Microsoft Word | NCQA
Education
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