Enrollment and Credentialing Specialist

Job Summary

A company is looking for an Enrollment & Credentialing Specialist responsible for enrolling healthcare providers with insurance payers and maintaining accurate credentialing records.

Key Responsibilities:

• Manage end-to-end payer enrollment for infusion therapy providers with commercial and government payers
• Prepare and submit enrollment applications via payer portals and enrollment systems
• Track application status, follow up with payers, and resolve issues or discrepancies

Qualifications:

• Bachelor's degree preferred with 1-3 years of experience in payer enrollment, credentialing, or healthcare administration
• Familiarity with payer portals and enrollment systems
• Thorough understanding of payer enrollment and credentialing processes
• Ability to manage multiple applications and deadlines simultaneously
• Strong organizational skills