Provider Enrollment Specialist
Tasks
- Comply with regulatory guidelines
- Ensure enrollment files meet MCO standards
- Execute initial enrollment applications
- Execute recredentialing packets
- Maintain update and attest CAQH profiles
- Manage NPI data
- Manage Tax Identification Number attachments
- Serve as primary operational contact for health plans
- Track pending enrollment applications
- Verify official effective dates
Perks/Benefits
- N/A
Skills/Tech-stack
Availity | CAQH | Enrollment Portals | Managed care | Managed care onboarding | Medicaid | NPI | PECOS | Payer Enrollment Portals | Payer enrollment | Provider credentialing | Tax Identification Number TIN
Education
Bachelor of Engineering | Bachelor of Science | High School Diploma
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