Provider Enrollment Specialist Position Available In Manatee, Florida

Tallo's Job Summary: The Provider Enrollment Specialist in Bradenton, FL, offers a pay range of $22-$24/hr. Responsibilities include managing enrollment and credentialing processes, ensuring compliance with regulatory standards, and facilitating communication between clinics, providers, and payers. Requirements include a high school diploma or GED, 2+ years of credentialing experience, knowledge of insurance plans, and proficiency in data entry and Microsoft Office.

Company:
Ad-Vance Talent Solutions
Salary:
$47840
JobFull-timeOnsite

Job Description

Provider Enrollment Specialist 4.5 4.5 out of 5 stars Bradenton, FL 34205

Provider Enrollment Specialist Bradenton, FL Pay Range:

$22-$24/hr’ Temp-to-hire Position Summary The Provider Enrollment Specialist manages the enrollment and credentialing process for facility and professional providers with government and commercial payers. This role ensures timely submission and maintenance of provider participation, supports compliance with regulatory standards, and fosters communication between clinics, providers, and payers. Essential Duties Complete and submit insurance enrollment and credentialing applications per organizational, state, and federal requirements Oversee initial credentialing and re-credentialing for all providers Track application status and communicate issues or updates to management Respond to staff and payer inquiries regarding enrollment, documentation, and participation Obtain signatures and documentation as needed in the field Maintain confidentiality, uphold organizational values, and support company goals Perform additional duties as assigned Skills & Abilities Strong communication and customer service Attention to detail and time management Critical thinking and problem-solving Ability to multitask and work independently High ethical standards and empathy Requirements & Preferences High school diploma or GED required 2+ years of credentialing or managed care experience preferred Knowledge of Medicaid, Medicare, and commercial insurance plans Proficient in data entry and Microsoft Office Familiarity with medical terminology and insurance billing Strong organizational and interpersonal skills Must meet deadlines and maintain patient confidentiality Physical Requirements Must be able to sit, stand, walk, and occasionally lift up to 25 lbs Requires frequent use of hands, vision, and hearing Occasional travel and fieldwork may be necessary Must be able to handle stressful situations and maintain professionalism IND2

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