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Provider Enrollment Specialist

7/10/2025

N/A

Job Summary

A company is looking for a Provider / Payor Enrollment Specialist.

Key Responsibilities
  • Enrolls providers in commercial and government payor plans, ensuring timely completion of applications
  • Monitors provider compliance with enrollment requests and manages documentation for accuracy
  • Tracks and audits provider enrollment processes, reporting findings and issues to management
Required Qualifications
  • High School Diploma or GED required
  • 3 to 5 years of experience in a Provider Enrollment environment or healthcare setting
  • Knowledge of Medicaid, Medicare, and commercial payor enrollment processes
  • Experience with credentialing providers following NCQA standards preferred
  • Bachelor's Degree is preferred

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