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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