Provider Enrollment Specialist

Job Summary

To support provider enrollment processes, the full-time Provider Enrollment Specialist will coordinate and facilitate the enrollment of professional providers with various payers, ensuring timely application completion and maintaining positive relationships with providers while working remotely.

Key responsibilities

• Completes provider payer enrollment and recredentialing in a timely manner while handling sensitive information
• Resolves enrollment issues through collaboration with physicians and office staff, ensuring compliance with credentialing processes
• Obtains and updates provider information from various sources, maintaining accurate records and supporting new provider onboarding

Required qualifications

• 2 years of experience in a physician medical practice with knowledge of payer billing and claims processing
• Advanced computer skills in word processing, spreadsheets, and web-based applications
• Excellent customer service and follow-up skills
• Associate's degree is preferred
• Experience with professional provider credentialing software is a plus