Provider Enrollment Specialist- Payer Experience

Udsmr

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Provider enrollment lifecycle management
Medicare medicaid commercial payers
Caqh pecos payer portals
This role is responsible for managing the full lifecycle of provider enrollment and re-enrollment across government and commercial payers

Job Summary

  • This role is responsible for managing the full lifecycle of provider enrollment and re-enrollment across government and commercial payers.
  • The position offers direct impact on provider readiness and revenue performance with exposure to multiple payer types and healthcare specialties.
  • Netsmart fosters a collaborative team environment focused on process improvement and operational excellence.

Matching Summary

This role is responsible for managing the full lifecycle of provider enrollment and re-enrollment across government and commercial payers.

Skills & Requirements

Must-have

  • provider enrollment lifecycle management
  • Medicare Medicaid commercial payers
  • CAQH PECOS payer portals
  • attention to detail
  • independent and team collaboration
  • Microsoft Office proficiency

Nice-to-have

  • multi-provider multi-state healthcare experience
  • enrollment tracking systems knowledge
  • understanding billing and claims workflows
  • healthcare certifications like CPC or CPB
  • process improvement focus
  • collaborative team environment

Key Requirements

  • 1+ years provider enrollment or credentialing experience
  • knowledge of Medicare Medicaid commercial enrollment
  • experience with CAQH PECOS NPI Registry
  • effective communication skills
  • legal authorization to work in the United States

Work Rights

Legal authorization to work in the United States

Tailored Resume

Cover Letter