Provider Enrollment Specialist
Tasks
- Analyze claim denial trends
- Assist providers with application completion
- Complete Medicaid enrollment for individuals and facilities
- Coordinate provider enrollment progress
- Coordinate provider enrollment with commercial and government payers
- Execute provider enrollment projects
- Follow up with payers to request network participation
- Handle payer denial work queues
- Manage payer recredentialing requests
- Submit initial and reenrollment applications via payer portals
- Support CAQH attestations
- Update provider and clinic changes with health plans
Perks/Benefits
- N/A
Skills/Tech-stack
Customer Service | Data entry | Medical billing | Medical terminology | Microsoft Office
Education
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