California Licensed 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 in CredentialStream for various enrollment dates and ensure accuracy of provider records Follow up with health plans post-submission and collaborate with the credentialing team regarding new provider onboarding Required Qualifications 2+ years of experience in payer enrollment function Experience with Medicare/Medicaid payer enrollment is required Prior experience with California Payer Enrollment is highly desirable Experience with RCM - Enrollment claim resolution preferred Delegated and Non-Delegated payer enrollment experience is a plus

Apr 10, 2025 - 10:24

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 in CredentialStream for various enrollment dates and ensure accuracy of provider records Follow up with health plans post-submission and collaborate with the credentialing team regarding new provider onboarding Required Qualifications 2+ years of experience in payer enrollment function Experience with Medicare/Medicaid payer enrollment is required Prior experience with California Payer Enrollment is highly desirable Experience with RCM - Enrollment claim resolution preferred Delegated and Non-Delegated payer enrollment experience is a plus