Provider Enrollment Specialist
Tasks
- Contact health plans for enrollment requirements
- Coordinate required documents and signatures
- Document assignments in credentialing tracking system
- Enroll practitioners in health plans
- Escalate enrollment issues to management
- Maintain provider profile in CAQH
- Maintain provider profile in Provider Enrollment Tracking software
- Map enrollment forms and prioritize work
- Monitor delegated agreement enrollment reports
- Prepare group applications for acquisitions and mergers
- Research health plan enrollment requirements
- Submit and follow up enrollment applications
- Update provider data in IntelliCred and Master Database
- Validate enrollment forms and applications
- Validate onboarding enrollment status and target start dates
- Verify provider information accuracy
Perks/Benefits
- 401k
- Dental insurance
- Dependent care FSA
- Disability insurance
- Employee stock purchase plan
- Health savings account
- Healthcare FSA
- Life insurance
- Medical insurance
- Vision insurance
Skills/Tech-stack
Adobe Acrobat | CAQH | Credentialing | Entity database | Excel | HCue | Health plan enrollment | IntelliCred | IntelliReports | Master Database | OnBase | Provider enrollment | Word | WorkView
Education
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