Provider Enrollment Specialist

Job Summary

A company is looking for a Provider Enrollment Specialist for Out of State Medicaid.

Key Responsibilities:

• Collect, verify, and submit information for hospital/physician enrollment with Out-of-State Medicaid payers
• Develop and maintain enrollment policies and procedures, ensuring compliance with regulations
• Manage work queue to ensure timely submissions of all payor-specific forms and documents

Requirements and Qualifications:

• High School Diploma or GED required; Associates or Bachelor’s Degree preferred
• 1+ years’ experience in healthcare field working in billing or collections
• Intermediate understanding of insurance payer/provider claims processing
• Thorough knowledge of enrollment requirements and documents for applications
• Knowledge of general credentials and licenses is preferred