California Enrollment Specialist

A company is looking for an Enrollment Specialist (CA Payer Experience). Key Responsibilities Manage the payer enrollment process for new providers with commercial health plans, Medicaid, and Medicare Data entry of relevant dates in CredentialStream and review provider records for accuracy Follow up with health plans on application status and collaborate with the credentialing team Required Qualifications 2+ years of experience in payer enrollment Medicare/Medicaid payer experience is required Prior experience with California Payer Enrollment is highly desirable Experience with RCM - Enrollment claim resolution preferred Knowledge of HIPAA rules and regulations

Apr 10, 2025 - 16:46

A company is looking for an Enrollment Specialist (CA Payer Experience). Key Responsibilities Manage the payer enrollment process for new providers with commercial health plans, Medicaid, and Medicare Data entry of relevant dates in CredentialStream and review provider records for accuracy Follow up with health plans on application status and collaborate with the credentialing team Required Qualifications 2+ years of experience in payer enrollment Medicare/Medicaid payer experience is required Prior experience with California Payer Enrollment is highly desirable Experience with RCM - Enrollment claim resolution preferred Knowledge of HIPAA rules and regulations