Responsible for managing and coordinating provider enrollment and re-enrollment processes for healthcare providers and facilities with payers.
This role prepares and submits enrollment applications for Medicare, Medicaid, managed care plans, commercial insurance plans, government insurance plans, and out-of-state payers. It maintains MD-Staff as the system of record, tracks enrollment status and key dates, supports provider credentialing and onboarding, and works closely with internal teams and external payer contacts to resolve enrollment issues and maintain compliance.
Requirements & Qualifications
- Minimum 2 years of experience in provider enrollment, credentialing, or healthcare administration preferred
- Experience with Medicare, Medicaid, managed care plans, and commercial insurance enrollment preferred
- Familiarity with CAQH, NPPES, PECOS, MD-Staff, or similar credentialing/enrollment systems
- Proficiency with Microsoft Office applications
- Strong organizational skills and attention to detail
- Ability to manage multiple priorities in a fast-paced environment
- Excellent written and verbal communication skills
- High school diploma or equivalent required
- Bachelor’s degree in healthcare administration or a related field preferred
Location
Oregon, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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