Provider Enrollment Specialist

Job Summary

A company is looking for a Sr. Provider Enrollment Specialist to manage the enrollment and credentialing of healthcare providers.

Key Responsibilities

• Manage and execute provider enrollment and recredentialing processes with various payers
• Ensure accurate and timely submission of enrollment applications and documentation
• Act as a liaison to resolve enrollment issues and collaborate with internal teams

Required Qualifications

• Associate's degree in Healthcare Administration, Business, or related field (Bachelor's preferred)
• 3-5 years of experience in provider enrollment, credentialing, or revenue cycle operations
• Strong understanding of payer enrollment processes for commercial, Medicare, and Medicaid plans
• Experience with provider enrollment portals and electronic credentialing systems
• Ability to analyze enrollment data and resolve complex issues effectively