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, including follow-ups with market locations and CMS
• Complete and submit CMS Medicare, State Medicaid, and third-party payer applications
• Maintain documentation and manage provider demographics in enrollment systems

Required Qualifications

• Associate's degree (2 years) required; Bachelor's degree preferred
• 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
• Experience with managing complex enrollment packages effectively