Credentialing and Enrollment Specialist

Job Summary

A company is looking for a Credentialing, Enrollment and Licensing Specialist (Enrollment).

Key Responsibilities

• Manage payer enrollments for multi-disciplinary Providers with state Medicaid and payer partners
• Complete and follow up on applications to ensure accuracy and compliance with state Medicaid agencies
• Perform monthly roster reconciliation with payer partners to maintain accurate Provider records

Required Qualifications

• 3-5+ years of experience handling Payer enrollments, preferably for multi-disciplinary Provider groups
• Extensive experience with Medicaid in a multi-state organization
• Telehealth experience strongly preferred
• Working knowledge of clinical operations and procedures
• Advanced skills in computerized spreadsheeting and database management