Provider Enrollment Specialist

Job Summary

To support a growing organization in the mental health and addiction field, the remote Provider Enrollment Specialist will manage payer contracting efforts, including credentialing applications and contract negotiations, while collaborating with various departments to ensure compliance and facilitate company growth.

Key responsibilities

• Ensure all medical and clinical staff are appropriately credentialed with payers and meet payer requirements
• Review and prepare payer credentialing applications for completeness and accuracy, working closely with providers and the credentialing department
• Evaluate and analyze contract proposals, negotiating optimal contract rates in collaboration with the SVP

Required qualifications

• Minimum of a High School Diploma or Equivalent; Bachelor's Degree preferred
• At least three (3) years of experience in provider or payer contracting and credentialing
• Knowledge of Hospital and/or Behavioral Contracting and Reimbursement
• Familiarity with CAQH requirements and credentialing applications for facilities and payer contracting
• Strong computer knowledge, including the use of personal computers meeting company software and security standards