Senior Enrollment Specialist (13)

Summary

Overseeing the end-to-end payer enrollment process, the full-time Senior Enrollment Specialist will manage applications, ensure compliance with enrollment requirements, and serve as the primary contact for enrollment inquiries while working remotely.Key responsibilitiesMonitor and maintain processes for initial and revalidation of payer enrollment applicationsEnsure compliance with payer enrollment requirements and regulations to secure timely enrollmentConduct research and document enrollment processes, while updating and managing data in credentialing systemsRequired qualificationsHigh school diploma or GED requiredFour to six years of experience in a credentialing office or related environmentKnowledge of health plan and governmental payer credentialing processes and requirementsProficient in database management and software systems including MS Excel and WordAbility to maintain confidentiality and work autonomously in a collaborative team environment

Job Description

Overseeing the end-to-end payer enrollment process, the full-time Senior Enrollment Specialist will manage applications, ensure compliance with enrollment requirements, and serve as the primary contact for enrollment inquiries while working remotely.Key responsibilitiesMonitor and maintain processes for initial and revalidation of payer enrollment applicationsEnsure compliance with payer enrollment requirements and regulations to secure timely enrollmentConduct research and document enrollment processes, while updating and managing data in credentialing systemsRequired qualificationsHigh school diploma or GED requiredFour to six years of experience in a credentialing office or related environmentKnowledge of health plan and governmental payer credentialing processes and requirementsProficient in database management and software systems including MS Excel and WordAbility to maintain confidentiality and work autonomously in a collaborative team environment