Provider Enrollment Specialist

Job Summary

A company is looking for a Provider Enrollment Specialist to manage payer enrollment issues and ensure compliance with various healthcare regulations.

Key Responsibilities

• Research and resolve payer enrollment issues by following up with market locations and CMS
• Manage the completion and submission of Medicare, Medicaid, and other third-party payer applications
• Maintain documentation and tracking of payer enrollments and provider demographics

Required Qualifications

• Associate's degree (2 years) required; Bachelor's degree in a related field preferred
• At least one (1) year of provider enrollment experience preferred
• Working knowledge of CMS, State Medicaid, and third-party payer application requirements
• Ability to maintain confidentiality regarding protected provider and health information
• Experience in managing complex enrollment packages and maintaining accurate records