Provider Enrollment Specialist

• Manage initial credentialing and payer enrollment for new clinicians across commercial, Medicare, and Medicaid managed care plans
• Maintain CAQH profiles, NPPES/NPI records, PECOS enrollments, payer applications, and revalidations
• Track licenses, malpractice coverage, certifications, effective dates, and expirations
• Maintain accurate payer rosters and group/individual linkages across our office locations
• Follow up persistently with payers on pending applications, missing items, effective dates, and enrollment discrepancies
• Coordinate with billing so claims are not submitted before payer effective dates
• Keep clean, auditable records of every application, effective date, payer communication, and follow-up step
• Improve the credentialing tracker and written process as the practice grows

Credentialing Specialist handling payer enrollment for behavioral health clinicians

Credentialing Specialist / Provider Enrollment Specialist

Credentialing Specialist managing payer enrollment and credentialing for a behavioral health group practice. Ensuring timely enrollment for clinicians while maintaining compliance and clean records.

Provider Enrollment Specialist jobs in Florida

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Credentialing Specialist / Provider Enrollment Specialist