Provider Enrollment Specialist

Position Summary:

• Oversee and maintain the professional and facility enrollment process for Out-of-State Medicaid payers.
• Handle patient health information with extreme privacy and security.

Key Responsibilities:

• Collect, verify, and submit information for hospital/physician enrollment applications.
• Develop and maintain ongoing policies and procedures for each state.
• Ensure compliance with government rules and regulations.

Requirements and Qualifications:

• High School Diploma or GED required; Associate or Bachelor's degree preferred.
• 1+ years in healthcare billing or collections and client-facing/customer service experience.
• Intermediate understanding of insurance payer/provider claims processing and data requirements.