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Provider Enrollment Specialist
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Job Description
- Req#: 4724751007
Employer Industry: Credentialing Verification Organization
Why consider this job opportunity:
- Salary up to $27 per hour
- Opportunity for professional development and growth within the organization
- Flexible work options including remote, hybrid, or in-office work at various locations
- Supportive and collaborative work culture that prioritizes employee well-being
- Chance to make a direct impact on healthcare provider enrollment and credentialing processes
What to Expect (Job Responsibilities):
- Process and submit initial provider applications, revalidations, and renewal applications in compliance with accreditation standards
- Perform thorough and accurate data entry and verification of provider information in credentialing databases
- Conduct timely follow-up on missing or incomplete information to ensure efficient provider enrollment
- Assist in the preparation and submission of required documentation for provider enrollment and credentialing
- Monitor and track the status of provider applications and conduct regular follow-ups with health plans
What is Required (Qualifications):
- High School diploma or GED required
- Associate degree preferred
- 3-5 years of experience in payer enrollment
- Strong organizational and time management skills to manage multiple tasks and meet deadlines
- Effective communication skills, both written and verbal, with the ability to interact professionally with providers and staff
How to Stand Out (Preferred Qualifications):
- Familiarity with healthcare regulations and compliance requirements
- Knowledge of NCQA, URAC, and CMS standards
- Strong problem-solving skills with the ability to identify and resolve issues promptly
#Credentialing #Healthcare #ProviderEnrollment #CareerOpportunity #FlexibleWork
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