Provider Enrollment Specialist

Job Summary

A company is looking for a Provider Enrollment Specialist who will coordinate health insurance network participation requests and manage the provider enrollment process.

Key Responsibilities

• Complete provider payer enrollment and recredentialing in a timely manner
• Resolve enrollment issues by collaborating with various stakeholders and maintaining positive relationships
• Obtain and verify updated provider information and ensure compliance with credentialing processes

Required Qualifications

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