Provider Enrollment Specialist
Tasks
- Communicate with insurance companies
- Coordinate temporary provider enrollments
- Follow up with payers on delays
- Generate enrollment status reports
- Investigate out of network claims issues
- Maintain credentialing system records
- Manage recredentialing timelines
- Monitor payer enrollment status
- Prepare payer enrollment applications
- Resolve escalated credentialing issues
- Submit payer enrollment applications
- Support audits
- Track payer enrollment applications
- Update provider demographic information
Perks/Benefits
Skills/Tech-stack
Availity | Billing | CAQH | Credentialing | Cycle management | Insurance verification | Microsoft Office | NPI | Payer enrollment | Recredentialing | Revenue Cycle | Revenue Cycle Management
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