American Advanced Management
Provider Enrollment Specialist
American Advanced Management, Salida, California, United States, 95368
Provider Enrollment Specialist
American Advanced Management is seeking a Provider Enrollment Specialist to manage the administrative process of credentialing healthcare providers with insurance companies and government payers like Medicare and Medicaid.
Prepare and submit enrollment applications and supporting documents for new and existing providers. Maintain and update provider information in databases and systems, ensuring accuracy of details such as licenses, certifications, and addresses. Verify provider credentials and ensure all paperwork meets the requirements of various health plans and government payers. Act as a liaison by responding to inquiries from providers and payers and follow up to expedite the enrollment and re‑enrollment process. Research and resolve issues that delay enrollment, such as missing information on applications. Organize and maintain files for all provider enrollments and other related documentation.
Requirements: a strong understanding of healthcare regulations, payer requirements, and provider enrollment processes; familiarity with medical terminology and basic billing practices; technical proficiency with provider enrollment software, credentialing databases such as CAQH, and common office applications like Word and Excel; excellent attention to detail, strong organizational skills, and effective communication; 3‑5 years of experience in a healthcare setting, preferably in credentialing, managed care, or claims processing.
Salary: $22.00 – $26.00 per hour.
Location: Stockton, CA. Salary range: $58,900.00–$72,800.00 (full‑time, mid‑senior level). Application deadline: 2 weeks ago.
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Prepare and submit enrollment applications and supporting documents for new and existing providers. Maintain and update provider information in databases and systems, ensuring accuracy of details such as licenses, certifications, and addresses. Verify provider credentials and ensure all paperwork meets the requirements of various health plans and government payers. Act as a liaison by responding to inquiries from providers and payers and follow up to expedite the enrollment and re‑enrollment process. Research and resolve issues that delay enrollment, such as missing information on applications. Organize and maintain files for all provider enrollments and other related documentation.
Requirements: a strong understanding of healthcare regulations, payer requirements, and provider enrollment processes; familiarity with medical terminology and basic billing practices; technical proficiency with provider enrollment software, credentialing databases such as CAQH, and common office applications like Word and Excel; excellent attention to detail, strong organizational skills, and effective communication; 3‑5 years of experience in a healthcare setting, preferably in credentialing, managed care, or claims processing.
Salary: $22.00 – $26.00 per hour.
Location: Stockton, CA. Salary range: $58,900.00–$72,800.00 (full‑time, mid‑senior level). Application deadline: 2 weeks ago.
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