Provider Enrollment Specialist

LED FastStartBossier City, LA
$26 - $36Onsite

About The Position

As a Provider Enrollment Specialist, you will be responsible for coordinating and managing the enrollment and credentialing process for healthcare providers. Your primary goal is to ensure that providers are properly credentialed, contracted, and able to deliver services to patients. You will collaborate closely with internal departments, external agencies, and providers to facilitate timely and accurate enrollment.

Requirements

  • 4 or more years of related experience (education may be substituted in lieu of experience)
  • Demonstrated experience utilizing strong organizational skills with attention to detail and accuracy
  • Demonstrated experience utilizing verbal and written communication skills to inform diverse audiences of an organization
  • Demonstrated ability to prioritize workload effectively, manage multiple projects concurrently, and consistently meet established deadlines
  • Intermediate proficiency in MS Office Suite
  • Must be able to work any 8-hour shift, Monday through Friday, 8:00 a.m. to 7:30 p.m. CST

Nice To Haves

  • Knowledge of healthcare regulations, payer requirements, and managed care principles.
  • Bachelor’s degree in Healthcare Administration, Business Administration, or a related field
  • Previous experience in provider enrollment, credentialing, or healthcare administration.
  • Experience with enrollment software or databases (e.g., CAQH, NPPES)

Responsibilities

  • Review and process enrollment applications accurately and efficiently, ensuring all information is complete and meets regulatory requirements.
  • Ensure providers meet credentialing requirements by verifying education, training, licensure, certifications, and other qualifications.
  • Serve as a primary point of contact for the Provider Relations team regarding enrollment status, application requirements, and related inquiries.
  • Monitor and track provider enrollment status and deadlines to ensure compliance with regulatory and contractual obligations.
  • Maintain accurate provider information in databases and enrollment systems, ensuring data integrity and accessibility.
  • Generate reports on provider enrollment status, trends, and issues for management review and decision-making purposes.

Benefits

  • Variety of medical plan options, some with Health Savings Accounts
  • Dental plan options
  • Vision plan
  • 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match
  • Full flex work weeks where possible
  • Variety of paid time off plans, including vacation, sick and personal time
  • Holidays
  • Paid parental leave
  • Military leave
  • Bereavement leave
  • Jury duty leave
  • Short and long-term disability benefits
  • Life insurance
  • Accidental death and dismemberment insurance
  • Personal accident insurance
  • Critical illness insurance
  • Business travel and accident insurance
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