Provider Enrollment Specialist

Job Summary

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

Key Responsibilities

• Research and resolve payer enrollment issues through follow-up with market locations and CMS
• Manage the completion and submission of applications for Medicare, Medicaid, and other third-party payers
• Maintain documentation and track provider enrollment statuses to prevent deactivation

Required Qualifications

• Bachelor's degree in a related field
• At least one year of provider enrollment experience preferred
• Working knowledge of CMS, State Medicaid, and third-party payer application requirements
• Ability to maintain strict confidentiality regarding protected provider and health information
• Ability to work independently and collaboratively in a fast-paced environment