Enrollment specialist [h1.location_city]
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Enrollment specialist • tucson az
- [promoted]
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A company is looking for a Provider Enrollment & Credentialing Specialist.
Key Responsibilities
Manage the collection, verification, and maintenance of all provider credentials
Oversee the submission and tracking of enrollment applications for Medicare, Medicaid, and commercial insurance panels
Conduct thorough background checks and verify education, training, and work history for compliance with standards
Required Qualifications
2-6 years of experience in provider credentialing or enrollment, preferably in behavioral health or telehealth
Experience with the PECOS, NPPES (NPI), and CAQH portals
Deep understanding of credentialing requirements for mental health professionals
Familiarity with licensing boards and enrollment timelines for all US states
Certified Provider Enrollment Specialist (CPES) or Certified Professional Credentialing Specialist (CPCS) preferred