California Licensed Provider Enrollment Specialist

A company is looking for a Provider Enrollment Specialist to coordinate health insurance network participation for medical providers.

Key Responsibilities

Complete provider payer enrollment and recredentialing in a timely manner

Resolve enrollment issues by collaborating with various stakeholders and maintaining positive relationships

Obtain and verify provider information, ensuring compliance with credentialing processes

Required Qualifications

High School Diploma or equivalent

3 years of experience in a physician medical practice or payer credentialing / enrollment

Experience with provider enrollment auditing and California Medicaid enrollments

Proficiency in Microsoft Word, Excel, Outlook, and PDF Software

Demonstrated knowledge of healthcare contracts preferred