Healthcare Provider Enrollment Specialist

A company is looking for a Healthcare Provider Enrollment Specialist, responsible for managing enrollment services for Providers and maintaining relationships with Payers/Networks. Key Responsibilities Coordinate and manage enrollment services, ensuring quality and accurate completion of Credentialing forms Organize and document enrollment forms and applications, and submit them to Payers as needed Train clients on the use of enrollment application services and maintain compliance with policies and procedures Required Qualifications Associate degree or equivalent experience preferred At least 2 years of experience in BPO Healthcare, specifically in Provider Enrollment services Basic credentialing knowledge and familiarity with industry standards are essential In-depth knowledge of healthcare terminologies, eligibility, benefits, and claims processes required Willingness to work on shifting schedules, including graveyard shifts and weekends

Mar 5, 2025 - 08:17

A company is looking for a Healthcare Provider Enrollment Specialist, responsible for managing enrollment services for Providers and maintaining relationships with Payers/Networks. Key Responsibilities Coordinate and manage enrollment services, ensuring quality and accurate completion of Credentialing forms Organize and document enrollment forms and applications, and submit them to Payers as needed Train clients on the use of enrollment application services and maintain compliance with policies and procedures Required Qualifications Associate degree or equivalent experience preferred At least 2 years of experience in BPO Healthcare, specifically in Provider Enrollment services Basic credentialing knowledge and familiarity with industry standards are essential In-depth knowledge of healthcare terminologies, eligibility, benefits, and claims processes required Willingness to work on shifting schedules, including graveyard shifts and weekends