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Healthcare Provider Enrollment Specialist

2 months ago

Montgomery, Alabama, United States Baptist Health Full time

Baptist Health is a leading healthcare organization serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in the region. To learn more about our organization, visit our website at https://www.baptistfirst.org.
As a Provider Enrollment Specialist, you will play a critical role in supporting the enrollment process for our employed providers who maintain billing privileges. Your responsibilities will include:

  • Preparing, finalizing, submitting, and following up on provider enrollment applications for government and commercial payors.
  • Communicating with Practice Managers and Billing Managers on approvals and status of applications.
  • Coordinating the onboarding of new providers.
  • Maintaining accurate and up-to-date provider enrollment and credentialing data.
  • Proactively monitoring renewal periods to ensure timely completion of the enrollment process.

Requirements:

  • High school diploma or equivalent required.
  • Minimum 3 years of applicable work experience in a professional or healthcare environment required.
  • Experience with provider enrollment with insurance carriers preferred.
  • Strong attention to detail and focus on accuracy of information while maintaining confidentiality.
  • Efficient computer application skills, including online submission and database maintenance.
  • Excellent verbal and written communication skills to effectively interact with physician staff, management, and colleagues.
  • Ability to work independently and as a member of a team, prioritizing multiple tasks and responsibilities.
  • Familiarity with healthcare AR revenue cycle management, preferably in a physician environment, and the requirements for optimal collection performance standards.