Credentialing Specialist - Medicaid Enrollment

Job Summary

A company is looking for a Credentialing & Enrollment Specialist - Payer Enrollment.

Key Responsibilities

• Manage payer enrollments for multi-disciplinary Providers with state Medicaid and payer partners
• Ensure application completeness and accuracy through communication with providers and medical leadership
• Perform monthly roster reconciliation with payer partners to maintain accurate Provider records

Required Qualifications

• 3-5+ years of experience in handling Payer enrollments for multi-disciplinary Provider groups
• Extensive experience with Medicaid in a multi-state organization
• Telehealth experience strongly preferred
• Working knowledge of clinical operations and procedures
• Demonstrated advanced working knowledge of Verifiable, Athena, and Microsoft Office suite