Provider Enrollment Specialist

Job Summary

To support provider enrollment processes, the part-time Provider Enrollment Specialist will perform enrollment, reassignment, and re-enrollment functions for providers with insurance carriers and government payers, working remotely while ensuring timely application completion and data accuracy.

Key responsibilities

• Obtain, verify, and analyze required information for payer enrollment
• Organize and manage the payer enrollment process to meet deadlines
• Interface with health plan contacts to support credentialing application completion

Required qualifications

• High School Diploma or equivalent
• Two years of applicable experience in managed care, credentialing, or revenue cycle
• Proficiency with payer portals and Microsoft Office Suite
• Working knowledge of CAQH, PECOS, SC DHHS, NC Tracks, and NPPES
• Ability to maintain data integrity and regulatory compliance in provider records