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Provider Enrollment Specialist (Remote)
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- The Provider Enrollment Specialist facilitates the paperwork and timely follow through of all required CCA
- employed clinician licenses, registrations, hospital affiliations and insurance enrollments including, but not limited to, state license, DEA & MCSR renewals, NPI registration, CAQH applications, Medicare & MassHealth enrollment, private insurances (e.g. Tufts, BCBS) and hospital credentialing (e.g. Boston Medical Center, Massachusetts General).
- Two years' experience in a provider enrollment setting (managed care, insurance, medical, or related field).
- Experience enrolling clinicians in Medicare, MassHealth, private insurance and hospitals preferred.
- Knowledge of regulatory/accreditation requirements and standards (CMS, DOH, HIPAA, NCQA).
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