Provider Enrollment Specialist

Job Summary

A company is looking for a Licensing and Credentialing Provider Enrollment Specialist.

Key Responsibilities

• Manage end-to-end payer enrollment for Medicare, Medicaid, and commercial payors
• Research and apply payor-specific enrollment protocols and state regulations
• Serve as the primary point of contact for payor follow-up and issue resolution

Required Qualifications

• Bachelor's degree or equivalent combination of education and experience
• Minimum of three (3) years of experience in payer enrollment and credentialing within a healthcare organization
• Extensive Medicare enrollment experience, including PECOS
• Working knowledge of Medicaid and commercial payer enrollment
• Proficiency with Microsoft Office and ability to learn new systems quickly