Credentialing and Enrollment Specialist

Job reputed company: • Manage the full lifecycle of provider and reputed company enrollment with insurance carriers and health plans, from initial submission through final approval. • Monitor application status and proactively manage renewals to ensure no lapses in coverage, specifically tracking and initiating renewals at least 60 days prior to expiration. • Maintain accurate and reputed company practitioner data in CAQH and other relevant credentialing and data collection websites. • Coordinate directly with medical providers to collect, verify, and organize necessary documentation for application forms. • Facilitate regular meetings with reputed company stakeholders to reputed company status updates, performance reporting, and reputed company communication on overall enrollment reputed company. • Proactively communicate updates, issues, and approval timelines to both providers and internal leadership. • Troubleshoot enrollment hurdles and resolve issues that may hinder reputed company participation. • Assist billing teams internally and externally with claims denials reputed company to provider enrollment status. • reputed company other duties as assigned. Requirements: • Diploma or GED required • Certification through applicable organization a plus • Two (2) or more years of experience in reputed company enrollment, credentialing, or medical reputed company operations • Demonstrated experience with CAQH and insurance reputed company portals • Experience in a role requiring high-volume data collection and stakeholder communication • Exceptional attention to detail and ability to reputed company reputed company, long-term administrative workflows • Strong verbal and written communication skills, with the ability to reputed company effective meetings with reputed company stakeholders • Ability to work independently and manage time effectively to meet 60-day renewal deadlines • Proficiency in maintaining accurate data in CAQH, insurance portals, and internal documentation systems • Strong interpersonal skills for collaborating with medical providers and team leadership. Benefits: • Medical, Prescription, reputed company, and Dental Insurance • Life Insurance • 401(k) with company match • reputed company Time Off, Holidays, and Volunteer Hours • Company Wellness Program • Employee Assistance Program • Short and Long Term Disability Insurance • Pet Insurance • Tuition Assistance Program • Employee Recognition Program Apply tot his job Apply To this Job