Provider Enrollment Specialist

📋 Description

• Be part of our credentialing/enrollment team to ensure timely credentialing.
• Process credentialing, re-credentialing, and privileging applications to keep providers active.
• Resolve enrollment-related issues with health plans to prevent delays.
• Maintain clean provider data and enrollment records in MD Staff.
• Follow SOPs and policies to streamline workflows and strengthen compliance.
• Communicate credentialing updates to providers and external partners.

🎯 Requirements

• Bachelor's degree in healthcare administration, business, or related field (preferred).
• 3+ years of provider credentialing experience.
• Strong knowledge of NCQA standards, payer requirements, and credentialing best practices.
• Excellent problem-solving and critical thinking; ability to resolve escalated issues.
• Exceptional organization, detail orientation, and ability to handle multiple priorities.
• Strong written and verbal communication and interpersonal skills to collaborate cross-functionally.
• Experience with credentialing software and databases (preferred).

🎁 Benefits

• Health benefits including medical, dental, and vision.
• Life insurance.
• Paid leaves.