Provider Enrollment Specialist

A company is looking for a Provider Enrollment Specialist II to manage provider credentialing and payer enrollment processes.

Key Responsibilities

Manage and coordinate payer enrollment for providers, ensuring compliance with policies and deadlines

Handle credentialing and recredentialing processes, including verification and maintenance of provider information

Collaborate with various departments to troubleshoot enrollment issues and ensure accurate data management

Required Qualifications, Training, and Education

High school diploma or equivalent

3-5 years of healthcare credentialing and payer enrollment experience preferred

Excellent computer skills, including proficiency in Microsoft Office

Ability to use independent judgment within established policies and procedures

Strong relationship-building skills across all levels of staff and external contacts