Provider Enrollment Specialist(Remote)

Job description

Location: Fully remote role with expected work hours from 8:30 AM to 5PM CT Mon-Fri. - California market experience is key - Examples: MediCal; Blue Cross Blue Shield of California - Must have experience with Department of Labor enrollments - Healthstream experience is preferred - Prior experience with internal auditing is key - CAQH experience is a plus Summary Description: The Provider Enrollment Specialist will be responsible for coordinating the requests for participation in health insurance network as a medical provider, monitoring, and maintaining the provider enrollment and re-enrollment process in a timely and compliance manner with all government and commercial payors. They will also review provider credentialing and/or recredentialing data for accuracy based on licensing requirements and various insurer payer requirements. Job Responsibilities: - Completes provider payer enrollment/credentialing and recredentialing with all identified payers in a timely manner. - Resolves enrollment issues through collaboration with physicians, non-physicians, office staff, management, contracting, insurers, and others as identified. Maintains positive working relationships with providers...