Florida Payer Enrollment Specialist

Job Summary

A company is looking for a Payer & Provider Enrollment Specialist to manage the payer enrollment process for independent providers.

Key Responsibilities

• Enroll new groups and providers with contracted payers in the Florida market
• Manage payer data in CredentialStream for groups and individual providers
• Investigate claims/enrollment issues and act as a liaison between the Enrollment Department and stakeholders

Required Qualifications

• 3+ years of experience in payer enrollment function
• Medicare/Medicaid payer experience required
• Experience with Verity CredentialStream or other credentialing preferred
• Athena EMR experience preferred
• Must comply with HIPAA rules and regulations