Provider Enrollment Quality Specialist

Job Summary

A company is looking for a Provider Enrollment Quality Specialist - Remote.

Key Responsibilities

• Provide quality assurance and insights analysis on Provider Enrollment applications to ensure adherence to Federal and State policy guidelines
• Meet production and quality requirements for timely enrollment application processing and support complex provider enrollment requirements
• Participate in special projects, external audits, and process improvements to support quality assurance initiatives

Required Qualifications

• Minimum of 3 years working in Provider Enrollment and/or Credentialing required, with 5 years preferred
• Minimum of 3-5 years performing quality assurance and analysis required
• Expertise in utilizing various systems to collect and analyze data
• Proficiency in MS Office, specifically Excel and PowerPoint
• Ability to process complex provider enrollment issues