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 and recredentialing in a timely manner
• Resolve enrollment issues through collaboration with various stakeholders and maintain positive relationships with providers
• Obtain and verify updated provider information and 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 Word, Excel, Outlook, and PDF software
• Demonstrated knowledge of healthcare contracts preferred