Provider Enrollment Specialist
Tasks
- Coordinate payer enrollment requests
- Ensure compliance with government and commercial payers
- Maintain provider credentialing before expiration
- Monitor and maintain provider enrollment and re enrollment
- Obtain updated provider information from sources
- Resolve enrollment issues with providers and payers
- Review provider credentialing and recredentialing data
- Search for process improvements
- Track provider data in databases and spreadsheets
- Update provider enrollment information for practice operations
- Verify primary source elements
Perks/Benefits
- 401k matching
- Dental insurance
- Discounted services
- Employee assistance program
- Flexible work hours
- Medical insurance
- Paid Holidays
- Paid time off
- Pet care coverage
- Vision insurance
Skills/Tech-stack
Credentialing | Data Auditing | Healthcare contracting | Medicaid | Medicare | Microsoft Excel | Microsoft Outlook | Microsoft Word | Multitasking | PDF | Payer enrollment | Primary Source Verification | Project Management | Quality Assurance | Recredentialing | Source verification
Education
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