Provider Enrollment Specialist

Job Summary

A company is looking for a Provider Enrollment Specialist to coordinate health insurance network participation for medical providers.

Key Responsibilities:

• Complete provider payer enrollment/credentialing and recredentialing in a timely manner
• Resolve enrollment issues through collaboration with various stakeholders while maintaining positive relationships
• Obtain and verify updated provider information from multiple sources to ensure compliance with credentialing processes

Required Qualifications:

• High School Diploma or equivalent
• 3 years of experience in a physician medical practice or payer credentialing/enrollment
• Experience with provider enrollment auditing and quality assurance
• Proficiency in Microsoft Office Suite and management tools
• Demonstrated knowledge of healthcare contracts preferred