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Provider Credentialing Done RIGHT
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Provider Enrolment Specialist
Metro • Full-time
May 2019 - Present • 7 yrs
• Manage end-to-end provider enrollment and revalidation for Medicare, Medicaid, and commercial payers. • Submit and maintain applications via CAQH, PECOS, and FLMMIS, ensuring timely approvals. • Track application statuses and follow up with payers to resolve enrollment-related claim denials. • Maintain provider records including NPI, licenses, malpractice insurance, and credentialing documents. • Support billing and cash posting processes to ensure accurate claims and payment reconciliation. • Assist with provider onboarding and staff training on enrollment procedures.