Provider Enrollment Specialist

📋 Description

• Collect, verify, and submit information necessary for the enrollment of hospitals/physicians with
• Develop and maintain ongoing policy and procedures specific to each state for new
• Maintain working knowledge of hospital/physician Out-of-State Medicaid enrollment requirements and
• Submit re-enrollment applications in a timely manner to ensure hospitals/physicians are up to date
• Establish, maintain, and constantly review the accuracy of Out-of-State Medicaid requirements to
• Manage work queue to ensure all timely submissions/deadlines of all payor-specific forms and

🎯 Requirements

• High School Diploma or GED required; Associates or Bachelor’s Degree preferred.
• 1+ years’ experience in healthcare field working in billing or collections.
• 1+ years’ client facing/customer services experience.
• Intermediate level understanding of insurance payer/provider claims processing and subsequent data
• Thorough understanding of the enrollment requirements and documents needed for the accurate
• Knowledge of general credentials and licenses is preferred but not required: hospital license