Payer Enrollment Specialist

Job Summary

A company is looking for a Payer Enrollment Specialist to join their credentialing team.

Key Responsibilities

• Initiate and manage enrollment applications for clinicians with contracted health plans
• Follow up on enrollment applications and maintain communication with internal teams and payers
• Ensure accurate documentation and maintain provider demographic data in the credentialing system

Required Qualifications

• 2+ years of experience enrolling with health plans
• Proficiency with online portals such as CAQH and PECOS
• Experience with credentialing processes is a plus
• Knowledge of NCQA requirements is preferred
• Experience with Salesforce is an additional plus