Provider Enrollment Specialist
Tasks
- Assist providers with applications
- Complete payer recredentialing requests
- Coordinate commercial and government payer contracts
- Coordinate provider enrollment
- Enter provider expirables and location data
- Facilitate CAQH reattestations
- Follow up with payers by phone and email
- Handle payer denial work queues
- Identify CPT denial trends
- Identify claim denial trends
- Manage credentialing and privileging process
- Manage enrollment projects for clinic acquisitions
- Review and submit enrollment applications via online portals
- Submit Medicaid enrollment applications
- Submit provider change and termination requests
- Support provider onboarding and offboarding
- Track enrollment progress and update stakeholders
Perks/Benefits
- N/A
Skills/Tech-stack
CAQH | CPT | Claims | Computer literacy | Credentialing | Customer Service | Data entry | Denials | Medical billing | Medical terminology | Microsoft Office | Payer enrollment
Education
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