Enrollment Specialist (Payer Enrollment & Credentialing)
Newnan, Georgia, United States
USD 40K-56K (estimate) Mid-level Full Time
Tasks
- Collaborate with internal credentialing and contracting teams
- Ensure compliance with payer and regulatory requirements
- Identify process gaps and recommend workflow improvements
- Maintain enrollment documentation and reporting
- Maintain provider records in payer systems
- Manage provider enrollment processes
- Monitor application status and follow up with payers
- Perform provider revalidation
- Prepare submit and track enrollment applications
- Resolve enrollment issues and delays
Perks/Benefits
- N/A
Skills/Tech-stack
CAQH | Credentialing | Enrollment platforms | MD Staff | Medicaid | Medicare | Microsoft Office | PECOS | Payer Portals | Provider Revalidation | Provider enrollment | TRICARE
Education
N/A
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