Provider Enrollment Specialist

Full Time
Foley, AL 36535
Posted
Job description
#PROVI256953

Provider Enrollment Specialist

2023-05-05
  • Organization

  • South Baldwin Regional Medical Center


  • Location FOLEY, AL (South Baldwin Regional Medical Center)
    Full Time
  • Department
  • Field Administrative Support
  • Location FOLEY, AL (South Baldwin Regional Medical Center)

  • Department

  • Field Administrative Support

  • Full Time

Job Description

Initiates, maintains, and manages the credentialing process with insurance payers. Establishes relationships with healthcare providers and staff to ensure timely completion of enrollment to ensure the financial stability of employed physician/ practices. Orients prospective providers in the credentialing process, as well as in the licensure requirements established by State and Federal regulation. Ensure that each provider remains in compliance with health plan enrollment by coordinating and compiling required data for the re-credentialing process. High school diploma or equivalent. Bachelor’s degree preferred. Minimum one year experience in related field.

Initiates, maintains, and manages the credentialing process with insurance payers. Establishes relationships with healthcare providers and staff to ensure timely completion of enrollment to ensure the financial stability of employed physician/ practices. Orients prospective providers in the credentialing process, as well as in the licensure requirements established by State and Federal regulation. Ensure that each provider remains in compliance with health plan enrollment by coordinating and compiling required data for the re-credentialing process. High school diploma or equivalent. Bachelor’s degree preferred. Minimum one year experience in related field.

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