Provider Enrollment Quality Specialist

A company is looking for a Provider Enrollment Quality Specialist - Remote. Key Responsibilities Provide quality assurance and insights analysis on Provider Enrollment applications to ensure adherence to Federal and State policy guidelines Meet production and quality requirements for timely enrollment application processing and support complex provider enrollment requirements Participate in special projects, external audits, and process improvements to support quality assurance initiatives Required Qualifications Minimum of 3 years working in Provider Enrollment and/or Credentialing required, with 5 years preferred Minimum of 3-5 years performing quality assurance and analysis required Expertise in utilizing various systems to collect and analyze data Proficiency in MS Office, specifically Excel and PowerPoint Ability to process complex provider enrollment issues

May 6, 2025 - 19:07
 0
Provider Enrollment Quality Specialist
A company is looking for a Provider Enrollment Quality Specialist - Remote. Key Responsibilities Provide quality assurance and insights analysis on Provider Enrollment applications to ensure adherence to Federal and State policy guidelines Meet production and quality requirements for timely enrollment application processing and support complex provider enrollment requirements Participate in special projects, external audits, and process improvements to support quality assurance initiatives Required Qualifications Minimum of 3 years working in Provider Enrollment and/or Credentialing required, with 5 years preferred Minimum of 3-5 years performing quality assurance and analysis required Expertise in utilizing various systems to collect and analyze data Proficiency in MS Office, specifically Excel and PowerPoint Ability to process complex provider enrollment issues