Provider Enrollment Specialist

Job Summary

A company is looking for a Provider Enrollment Specialist to manage provider enrollment processes for behavioral health therapists and clinicians.

Key Responsibilities

• Manage timely and accurate submission of provider enrollment applications for various insurance types
• Track and update enrollment statuses in Salesforce HealthCloud
• Coordinate receipt and processing of credentialing data and resolve enrollment issues

Required Qualifications, Training, and Education

• Two (2) years of experience utilizing credentialing software such as Availity or Modio
• Three (3) to five (5) years of credentialing experience with commercial and Medicaid providers
• Proficiency in Google Suite and experience with Salesforce Health Cloud
• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) certification preferred
• Associate Degree preferred