Provider Credentialing & Enrollment Specialist

Job description

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Summary: **This is a part-time, temporary position with the potential to transition into a full-time role** **This is a remote position** We are seeking a detail-oriented Credentialing & Enrollment Specialist to support provider enrollment, revalidation, and ongoing maintenance across multiple payors and states. This role focuses on resolving enrollment issues, reducing denials, and ensuring timely provider participation and reimbursement. Description: Credentialing & Enrollment Support: - Review and resolve enrollment with focus on state-specific requirements. - Identify and trend denial patterns to prevent recurrence (e.g., taxonomy mismatches, missing DEA, non-participating providers, admitting privileges). - Review Medicaid applications, revalidations, and facility enrollments at both group and individual levels. - Support NY ETIN and ETINS processing as required. Roster & Reporting Management: - Prepare and submit monthly rosters and uploads, including new provider additions and terminations. - Manage delegated rosters such as...