Maryland Medicaid Enrollment Specialist

Job Summary

A company is looking for a Payer & Provider Enrollment Specialist focused on Maryland Medicaid.

Key Responsibilities

• Manage the enrollment process for providers with commercial health plans, Medicaid, and Medicare
• Data entry and maintenance of provider records in CredentialStream, ensuring accuracy before application submission
• Follow up with health plans to track enrollment status and collaborate with the credentialing team on onboarding new providers

Required Qualifications

• 2+ years of experience in payer enrollment function
• Experience working in various payer portals
• Medicare/Medicaid payer experience required, with Maryland Medicaid experience preferred
• Familiarity with Verity CredentialStream or similar credentialing software preferred
• Must comply with HIPAA rules and regulations