Credentialing & Enrollment Analyst I

Role Overview

• Communicate with new provider to obtain documentation necessary for credentialing & provider enrollment processes.
• Create/Update required credentialing/enrollment portals.
• Ensure active medical licensure respect to provider assigned regions.
• Assist in resolving claims issues that are provider enrollment related.

Requirements

• Minimum of 2 -3 years of provider enrollment, credentialing, or revenue cycle operations.
• High School Diploma or equivalent
• Proficiency in MS Office (Excel, Word, Outlook, TEAMS) & Adobe
• Proficiency in various Payor portals (Availity, CAQH)
• Effective communication skills

Benefits

• Flexible working hours
• Paid time off