Provider Enrollment Specialist

Job Summary

A company is looking for a Provider Enrollment Specialist to support and coordinate the credentialing and enrollment processes for medical staff and administration.

Key Responsibilities

• Coordinate provider enrollment with commercial and government payers, ensuring timely and accurate completion of applications
• Participate in meetings to update stakeholders on enrollment progress and maintain detailed records in the provider enrollment database
• Assist with re-credentialing requests and manage enrollment for out-of-State Medicaid and other payer contracts

Required Qualifications

• High School Diploma or equivalent
• One year of experience in a healthcare revenue cycle setting
• Preferred experience with government and commercial payers
• Knowledge of medical billing databases and related work queues
• Experience with provider enrollment and credentialing is preferred