Provider Enrollment Specialist

Job Summary

A company is looking for a Provider Enrollment Specialist responsible for coordinating health insurance network participation and managing the provider enrollment process.

Key Responsibilities

• Complete provider payer enrollment and recredentialing with all identified payers in a timely manner
• Resolve enrollment issues through collaboration with various stakeholders and maintain positive relationships with providers
• Obtain and verify updated provider information from multiple sources and support new provider onboarding 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