Provider Enrollment Specialist

Job Summary

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

Key Responsibilities:

• Prepare, submit, and track payer enrollment applications for new and existing providers
• Maintain accurate records of all enrollment activities in the credentialing system
• Communicate with insurance companies and internal departments to ensure efficient processing of applications

Qualifications:

• High school diploma or equivalent required; associate or Bachelor's degree preferred
• 1-3 years of experience in payor enrollment
• Working knowledge of commercial and government payor requirements
• Proficient in Microsoft Office and credentialing software such as CAQH and Availity
• Experience in working with multi-specialty large group practices is a plus