Provider Enrollment Specialist
Tasks
- Communicate with Business Development and Credentialing
- Complete applications and submit to health plans
- Contact health plans for enrollment requirements
- Document assignments in provider enrollment tracking system
- Enroll practitioners in health plans
- Enter provider information into IntelliCred and Master Database
- Escalate enrollment issues to management
- Follow up until enrollment is complete
- Maintain provider profile in CAQH
- Maintain provider profile in IntelliCred
- Map enrollment forms in IntelliCred
- Monitor delegated agreement enrollment reports
- Prepare and review group applications
- Research health plan enrollment requirements
- Validate plan enrollment forms
- Verify onboarding enrollment status for target start date
- Verify provider information accuracy
Perks/Benefits
- 401k
- Dental insurance
- Dependent care FSA
- Disability insurance
- Employee stock purchase program
- Healthcare FSA
- Life insurance
- Medical insurance
- Vision insurance
Skills/Tech-stack
Adobe Acrobat | CAQH | Credentialing | Data entry | Enrollment Reporting | Enrollment Tracking | Excel | Health plan enrollment | IntelliCred | IntelliReports | Master Database | Medical terminology | OnBase | Provider Enrollment Tracking | Provider credentialing | Provider enrollment | Regulatory Compliance | Word
Education
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