Sr. Provider Enrollment Specialist

Overview

Employer Industry: Healthcare Services

Why consider this job opportunity:

• Salary up to $38.60/hr based on geographic zone
• 12 weeks of 100% Paid Parental Leave
• Comprehensive medical, vision, and dental coverage through multiple plan options
• Remote-first culture providing flexibility in work location
• Opportunity for career advancement and growth within the organization
• Supportive work environment with a focus on integrated virtual care

• Manage and execute provider enrollment and recredentialing processes with various payers
• Ensure accurate and timely submission of enrollment applications and supporting documentation
• Act as a liaison between payers, providers, and internal stakeholders to resolve enrollment issues
• Maintain compliance with all federal, state, and payer-specific guidelines related to provider enrollment
• Partner with cross-functional teams to align enrollment efforts with organizational needs

• Associate’s degree in Healthcare Administration, Business, or related field required (Bachelor’s preferred)
• Minimum of 3-5 years of experience in provider enrollment, credentialing, or revenue cycle operations
• Strong understanding of payer enrollment processes for commercial, Medicare, and Medicaid plans
• Experience working with provider enrollment portals and electronic credentialing systems
• Proficiency in Microsoft Office Suite and experience with healthcare information systems

• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM)
• Experience in a multi-specialty medical group or health system

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