Enrollment Specialist (Payer Enrollment & Credentialing)

Job description

Position Summary: We are seeking an experienced Enrollment Specialist to manage payer enrollment activities across multiple lines of business, including Medicaid (Georgia), Medicare, Tricare, and Molina. This role is responsible for end-to-end provider enrollment, revalidation, and maintenance, ensuring timely and accurate submissions while maintaining compliance with payer and regulatory requirements. The ideal candidate is a self-starter who can work independently, navigate payer portals efficiently, and manage a high-volume workload with minimal supervision. Qualifications: - Manage full-cycle provider enrollment and revalidation processes for Medicaid (Georgia), Medicare, Tricare, and Molina - Prepare, submit, and track enrollment applications through various payer portals and systems - Maintain accurate and up-to-date provider records in internal databases and payer systems - Monitor application status, follow up with payers, and resolve enrollment issues or delays proactively - Ensure compliance with all federal, state, and payer-specific requirements and timelines - Collaborate with internal teams (credentialing, operations, contracting) to ensure alignment and timely onboar...