Provider Enrollment Specialist

The Provider Enrollment Specialist is responsible for managing the enrollment and revalidation of healthcare providers with government and commercial payers. This role ensures accurate and timely submission of enrollment applications, maintenance of provider records, and compliance with payer, regulatory, and organizational requirements.

Requirements

• Prepare, submit, and track provider enrollment, revalidation, and recredentialing applications with government and commercial payers.
• Maintain current and accurate provider demographic, licensure, certification, and contract information in enrollment systems, credentialing databases, and payer portals.
• Serve as the primary point of contact for providers regarding enrollment status, documentation requirements, timelines, and payer correspondence.

Benefits

• Discretionary bonus
• Comprehensive benefits package