Provider Enrollment Specialist

Job Summary

A company is looking for a Specialist, Provider Enrollment.

Key Responsibilities

• Request participation for providers with health plans to ensure timely payment of claims
• Complete CAQH credentialing, applications, re-credentialing, and demographic updates for payers
• Monitor provider files, follow up with payers, and communicate updates to market contacts

Required Qualifications

• High School Diploma or GED equivalency
• Minimum of 2 years of experience in Insurance Payer Background and/or Enrollment preferred
• Familiarity with CAQH database and provider enrollment processes
• Ability to perform administrative tasks related to provider enrollment
• Experience in maintaining updated provider information and licenses