Demo

Provider Enrollment Specialist

IDR Healthcare
San Mateo, CA Full Time
POSTED ON 4/17/2025
AVAILABLE BEFORE 5/16/2025

IDR is seeking a dynamic and experienced Provider Enrollment Specialist to join one of our top clients remotely . This role is perfect for individuals with a strong background in revenue cycle operations within a hospital or clinic setting, and a deep understanding of Medicare and / or Medi-Cal regulatory requirements. If you are looking for an opportunity to join a large and growing organization and work within a team-oriented culture that values collaboration and continuous learning, we encourage you to apply today!

Position Overview / Responsibilities for the Provider Enrollment Specialist :

  • Process applications and re-applications for San Mateo County Medical Center and Clinic healthcare providers seeking to enroll with various insurance networks, ensuring accurate and timely submission.
  • Verify the credentials of healthcare providers, including education, training, and licensure, to meet insurance network and regulatory requirements.
  • Liaise with healthcare providers to gather necessary documentation and information for enrollment or re-enrollment processes.
  • Review and maintain provider data in the enrollment database, ensuring all information is current and accurate for billing and credentialing purposes.

Required Skills for Provider Enrollment Specialist :

  • Minimum of 3 years of experience in a hospital or clinic setting
  • Proficient understanding of Medicare and / or Medi-Cal regulatory requirements
  • Proven experience in supporting revenue cycle administrative duties
  • Excellent communication and team collaboration skills
  • What's in it for you?

  • Competitive compensation package
  • Full Benefits; Medical, Vision, Dental, and more!
  • Opportunity to get in with an industry leading organization
  • Close-knit and team-oriented culture
  • Why IDR?

  • 25 Years of Proven Industry Experience in 4 major markets
  • Employee Stock Ownership Program
  • Medical, Dental, Vision, and Life Insurance
  • ClearlyRated's Best of Staffing® Client and Talent Award winner 11 years in a row
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