Provider Enrollment Specialist

Job Summary

A company is looking for a Provider Enrollment Specialist to manage and resolve payer enrollment issues.

Key Responsibilities

• Research and resolve payer enrollment issues through follow-up with market locations and CMS
• Manage the completion and submission of applications for Medicare, Medicaid, and other payers
• Maintain documentation and reporting of payer enrollments and provider demographics

Required Qualifications

• High School diploma or equivalent
• At least one (1) year of provider enrollment experience preferred
• Working knowledge of CMS, State Medicaid, and third-party payer application requirements
• Ability to maintain confidentiality regarding protected provider and health information
• Ability to work independently and collaboratively in a fast-paced environment