Tennessee Licensed Provider Enrollment Specialist

A company is looking for a Provider Enrollment Specialist (Remote). Key Responsibilities Prepares, reviews, and submits applications for provider enrollment and re-credentialing with various payers Monitors and tracks enrollment statuses to ensure compliance with deadlines and requirements Updates and maintains accurate provider information in databases and payer systems Required Qualifications H.S. Diploma or GED required Associate Degree in Healthcare Administration, Business, or a related field preferred 2-4 years of experience in provider enrollment, credentialing, or a related role required Experience with healthcare payers, Medicare/Medicaid regulations, and credentialing software preferred Certified Provider Credentialing Specialist (CPCS) preferred

Mar 26, 2025 - 17:56

A company is looking for a Provider Enrollment Specialist (Remote). Key Responsibilities Prepares, reviews, and submits applications for provider enrollment and re-credentialing with various payers Monitors and tracks enrollment statuses to ensure compliance with deadlines and requirements Updates and maintains accurate provider information in databases and payer systems Required Qualifications H.S. Diploma or GED required Associate Degree in Healthcare Administration, Business, or a related field preferred 2-4 years of experience in provider enrollment, credentialing, or a related role required Experience with healthcare payers, Medicare/Medicaid regulations, and credentialing software preferred Certified Provider Credentialing Specialist (CPCS) preferred