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Provider Enrollment Specialist
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- Provider Enrollment Specialist at Highmark Health in Boise, Idaho, United States Job Description Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Coordinates and facilitates the enrollment of Allegheny Clinic professional providers with various payers for professional services reimbursement.
- ESSENTIAL RESPONSIBILITIES: + Completes provider payer enrollment/credentialing and recredentialing with all identified payers in a timely manner.
- 50%) + Resolves enrollment issues through collaboration with physicians, non-physicians, office staff, management, contracting, insurers, and others as identified.
- 5%) + Provides updates to on-site practice management staff and others with any changes to requirements for credentialing individual providers based on government and commercial payer credentialing processes.
- Proactively communicated any changes regarding contracting as it relates to enrollment and operations.
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