Enrollment Specialist (Payer Enrollment & Credentialing)

Requirements

• Manage full-cycle provider enrollment and revalidation processes for Medicaid (Georgia), Medicare, Tricare, and Molina
• Prepare, submit, and track enrollment applications through various payer portals and systems
• Maintain accurate and up-to-date provider records in internal databases and payer systems
• Monitor application status, follow up with payers, and resolve enrollment issues or delays proactively
• Ensure compliance with all federal, state, and payer-specific requirements and timelines
• Collaborate with internal teams (credentialing, operations, contracting) to ensure alignment and timely onboarding
• Identify process gaps and recommend workflow improvements to enhance efficiency and turnaround times
• Maintain detailed documentation and reporting on enrollment status and key metrics
• Stay current on payer requirements, portal updates, and regulatory changes

Benefits

• Full-time employment
• Benefits package