Provider Enrollment Specialist

Practice Area healthcare/administrative
Job Family Administrative
Job Type Contract To Perm
Location Metrowest Boston


Do you pay strong attention to detail? Are you highly organized with strong communication skills? If so, this Provider Enrollment Specialist position is perfect for you! Submit your resume to apply today.


Responsibilities:

  • Enter provider enrollment information data into database systems and distribute information to the required departments and credentialing admins
  • Ensure data is entered correctly the first time around
  • Enter and update data in the CAQH system
  • Expedite credentialing process by following up with managed care organizations
  • Review enrollment files to check for deficiencies
  • Follow up with contact or provider if they’ve provided incomplete information
  • Make sure third-party payor provider enrollment is completed accurately and on time to receive reimbursement 

Requirements:

  • Associates Degree or equivalent education and experience combined
  • NAMSS CPCS certification preferred
  • 3 or more years of healthcare experience
  • Understanding of provider credentialing/enrollment
  • Billing process knowledge preferred

Position ID: 38321