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Enrollment Specialist

Robert Half

We are seeking a highly organized Healthcare Enrollment and Credentialing Specialist to oversee provider enrollment, credentialing, and contracting processes. This role is responsible for preparing and submitting payer applications, maintaining credentialing records and documentation, ensuring compliance with regulatory requirements, and facilitating accurate and timely provider onboarding.Support provider enrollment, credentialing, recredentialing, and contracting activities with commercial, Medicare, and Medicaid payers.Complete and submit enrollment and credentialing applications, ensuring accuracy, completeness, and timely processing.Gather, verify, and maintain provider documentation, including licenses, certifications, insurance, and compliance records.Track application progress, follow up on outstanding items, and resolve discrepancies to ensure successful enrollment and credentialing outcomes.Maintain accurate records, databases, and reports while supporting audits, compliance initiatives, and special projects.Collaborate with internal teams and external payer representatives to facilitate provider onboarding and credentialing activities.Ensure confidentiality, accuracy, and adherence to company policies and regulatory requirements in a fast-paced, high-volume environment.

Vacancy posted 2 days ago
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