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Sr. Provider Enrollment Specialist

Included HealthVirtual Care company
RemoteSenior
Operations & Strategy

About the role

Ensures healthcare providers are properly enrolled and credentialed.

  • Provider Enrollment Specialist ensures healthcare providers are properly enrolled and credentialed with insurance payers, regulatory bodies, and internal systems.
  • Key Responsibilities Manage provider enrollment and recredentialing processes.
  • Ensure accurate and timely submission of enrollment applications.
  • Act as a liaison between payers, providers, and internal stakeholders.
  • Maintain detailed records of all enrollment activities.
  • Collaborate with Revenue Cycle, Provider Relations, and Credentialing teams.
  • Requirements Associate's degree in Healthcare Administration, Business, or related field.
  • Minimum of 3-5 years of experience in provider enrollment or revenue cycle operations.
  • Strong understanding of payer enrollment processes.
  • Experience with provider enrollment portals and electronic credentialing systems.
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Level:Senior

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