Managed Care Provider Enrollment Specialist - Administrative Experience Required

Responsibilities Complete initial provider enrollment, payer enrollment, and revalidation applications on time Maintain provider records, credentials, practice locations, services, and payer data Coordinate with providers and internal teams to obtain documentation and resolve discrepancies Monitor enrollment applications and outstanding items to support timely payer approval Audit payer records and provider data to identify errors and protect data integrity Prepare managed care reports and tracking tools using Microsoft Excel Serve as liaison for external privileging, payer requests, and contractual enrollment requirements Research payer policies and translate findings into clear next steps Requirements High school diploma, GED, or equivalent Professional administrative, office, data-management, billing, or healthcare experience Experience maintaining accurate records and meeting deadlines Professional Microsoft Office and Excel experience Ability to work independently in a remote environment Preferred Qualifications Healthcare revenue cycle experience, including patient billing and insurance claims Provider enrollment, payer enrollment, managed care, or credentialing experience Communication with commercial insurers, Medicaid, Medicare, or managed care organizations Advanced Excel skills, including formulas, filtering, and data validation Benefits Full-time health, dental, vision, retirement, disability, and life insurance Paid time off, telemedicine, and employee assistance program On-the-job training and career advancement opportunities About the Company Brightli is a behavioral health organization forming a multi-subsidiary model to share resources and expand access to mental health and addiction care. #J-18808-Ljbffr Brightli