Provider Enrollment Specialist
Current• Manage the completion and submission of provider enrollment applications and re-enrollment applications• Perform tracking and follow up to ensure providers enrollments are established and linked to appropriate group entities in a timely manner• Enrolled groups/clients and locations with carriers including Medicare, Medicaid, and Commercial payers. • Worked closely with providers, corporate resources, and site management to expedite completion of applications, forms, and required… Show more • Manage the completion and submission of provider enrollment applications and re-enrollment applications• Perform tracking and follow up to ensure providers enrollments are established and linked to appropriate group entities in a timely manner• Enrolled groups/clients and locations with carriers including Medicare, Medicaid, and Commercial payers. • Worked closely with providers, corporate resources, and site management to expedite completion of applications, forms, and required documents• Maintained provider enrollment information within the credentialing database• Worked with several departments to ensure claims go out with the correct information and claims are paid• Completed and maintained recurring periodic updates for provider licenses, malpractice coverage, board certifications and other required documents for CAQH and all types of insurance both governmental and commercial • Worked special projects as needed for management regarding different aspects of provider enrollment Show less
