TEKsystems
Provider Enrollment Specialist
Job Description
Location: Remote
Schedule:
+ Mountain Time: 8:00 AM – 4:00 PM or 9:00 AM – 5:00 PM
+ Eastern Time: 9:30 AM – 6:30 PM
Description
+ Prepare and submit enrollment and re-enrollment applications for healthcare providers to Medicare, Medicaid, and commercial insurance plans.
+ Maintain accurate and up-to-date provider records in internal databases and payer portals.
+ Track application statuses and follow up with payers to ensure timely processing.
+ Collaborate with providers and credentialing staff teams to gather required documentation and resolve discrepancies.
+ Monitor and manage re-credentialing and revalidation timelines to ensure continuous participation.
+ Respond to inquiries from providers and internal departments regarding enrollment status and requirements.
+ Assist with audits and reporting related to provider enrollment activities.
Top Skills
+ CAQH, credentialing...
Schedule:
+ Mountain Time: 8:00 AM – 4:00 PM or 9:00 AM – 5:00 PM
+ Eastern Time: 9:30 AM – 6:30 PM
Description
+ Prepare and submit enrollment and re-enrollment applications for healthcare providers to Medicare, Medicaid, and commercial insurance plans.
+ Maintain accurate and up-to-date provider records in internal databases and payer portals.
+ Track application statuses and follow up with payers to ensure timely processing.
+ Collaborate with providers and credentialing staff teams to gather required documentation and resolve discrepancies.
+ Monitor and manage re-credentialing and revalidation timelines to ensure continuous participation.
+ Respond to inquiries from providers and internal departments regarding enrollment status and requirements.
+ Assist with audits and reporting related to provider enrollment activities.
Top Skills
+ CAQH, credentialing...