Provider Enrollment Specialist

• Prepare, submit, and track Medicare enrollment applications through PECOS, including individual, group, and reassignment of benefits applications
• Respond to Medicare Administrative Contractor development requests and correct application issues
• Complete Medicaid and commercial payer credentialing and contracting applications for new and existing practice locations
• Create, update, and re-attest CAQH ProView profiles using provider-authorized access
• Maintain NPI, license, DEA, board certification, malpractice, and hospital privilege records with expiration dates
• Follow up with payers by phone, email, and portal until applications are approved and effective dates are confirmed
• Track application status, reference numbers, and effective dates in the practice's credentialing tracker
• Notify the practice of approvals, denials, missing documents, and upcoming revalidation or re-credentialing deadlines
• Process demographic updates such as new locations, address changes, and added services with each payer
• Protect patient and provider information and follow HIPAA requirements

Explore Credentialing and Provider Enrollment Specialist at RCM Staff LLC. Review requirements and application details.