California Licensed Enrollment Specialist

Job Summary

A company is looking for an Enrollment Specialist (CA Payer Experience).

Key Responsibilities

• Manage the payer enrollment process for new providers with commercial health plans, Medicaid, and Medicare
• Data entry in CredentialStream for various enrollment dates and ensure accuracy of provider records
• Follow up with health plans post-submission and collaborate with the credentialing team regarding new provider onboarding

Required Qualifications

• 2+ years of experience in payer enrollment function
• Experience with Medicare/Medicaid payer enrollment is required
• Prior experience with California Payer Enrollment is highly desirable
• Experience with RCM - Enrollment claim resolution preferred
• Delegated and Non-Delegated payer enrollment experience is a plus