Provider Enrollment Specialist

Job Description

:Provides ongoing support and coordination as a liaison between the Medical Staff, Medical Directors, and Administration. The position directs the on-going credentialing / privileging process and other administrative functions for the Medical Staff, Medical Director, Administration, and Allied Health Professionals.

Essential Functions

Participates in enrollment progress update meetings for assigned market. Provides status information to stakeholders. Keeps detailed notes about enrollment progress in provider enrollment database and distributes information to designated department representatives and credentialing administrators.

Completes all payer re-credentialing requests and demographic/roster requests.

Completes out-of-State Medicaid individual and facility enrollments timely and accurately for assigned States.

Participates in team work sessions for each market to address Epic hold and denial wo...