Senior Provider Enrollment Specialist
7 days ago
This role involves the end-to-end management of provider credentialing and enrollment processes, encompassing the submission of Letters of Interest and enrollment applications across all states.
Key Responsibilities:
- Ensure the seamless execution of provider credentialing and enrollment activities.
- Engage with payers via calls and emails to guarantee the successful processing of individual and group applications.
- Demonstrate expertise in submitting required documentation for private commercial payors, Medicare, Medicaid, Medicaid MCO, and Medicare supplement/replacement plans.
- Maintain regular communication with clients, providing updates and ensuring the active status of providers with payers.
- Manage the application and renewal process for all provider licenses, including Professional, DEA, and Controlled Substance licenses.
- Guarantee continuous updating and maintenance of client and application data, readily available for client requests.
Requirements:
- A minimum of 5 years of experience in provider credentialing and enrollment.
- Possess strong organizational skills and the ability to work independently in a remote setting.
- Be proficient in using credentialing portals and managing associated documentation.
- Exhibit exceptional communication skills to effectively engage with both clients and payers.
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