Provider Enrollment Specialist

To support community-based clinics across 20 US states, the full-time remote Provider Enrollment Account Representative will independently manage credentialing and provider enrollment activities, including submitting applications to various payers and resolving enrollment issues. Key responsibilities Serve as the primary point of contact for assigned healthcare organizations across multiple states Independently manage the full spectrum of financial credentialing and enrollment processes Complete and submit individual provider enrollment applications with various insurance carriers Required qualifications Direct provider enrollment experience with individual insurance payers is required Experience completing and submitting individual billable provider enrollment applications is required Experience managing non-delegated enrollments from submission to participating status is required Commercial, managed care, and Medicare/Medicaid payer enrollment experience is required Experience maintaining CAQH, NPPES, PECOS, and other provider data records is required