Position Details
About this role
This role involves managing the full enrollment and credentialing cycle for healthcare providers, focusing on behavioral health, across public and private payers. The specialist will ensure provider data accuracy and facilitate timely onboarding.
Key Responsibilities
- Submit enrollment applications
- Manage enrollments across states
- Utilize Salesforce for tracking
- Maintain provider information in CAQH
- Resolve enrollment discrepancies
Technical Overview
The position requires experience with Salesforce, CAQH, and payer databases, along with provider data management and process optimization skills.
Ideal Candidate
The ideal candidate is a mid-level credentialing specialist with at least 3 years of experience in behavioral health provider enrollment, proficient in Salesforce and provider data management systems. They possess strong organizational skills and attention to detail to manage complex enrollment workflows across multiple payers and states.
Must-Have Skills
Nice-to-Have Skills
Tools & Platforms
Required Skills
Hard Skills
Soft Skills
Certifications
Preferred
Industry & Role
Keywords for Your Resume
Deal Breakers
Lack of experience in behavioral health credentialing, No experience with Salesforce or CAQH, Less than 3 years of credentialing experience, Inability to work remotely
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