Position Details
About this role
This role involves credentialing and enrolling healthcare providers, maintaining provider data, and ensuring compliance with HIPAA standards.
Key Responsibilities
- Communicates with providers to explain process and sign applications
- Collects and verifies provider information
- Maintains data entry in CAQH
- Prepares enrollment applications
- Ensures HIPAA compliance
Technical Overview
The position requires knowledge of provider enrollment processes, insurance verification, and familiarity with tools like CAQH and Microsoft Office.
Ideal Candidate
The ideal candidate is an entry-level healthcare professional with at least two years of provider enrollment experience, strong communication skills, and familiarity with HIPAA standards and insurance processes.
Must-Have Skills
Nice-to-Have Skills
Tools & Platforms
Required Skills
Hard Skills
Soft Skills
Industry & Role
Keywords for Your Resume
Deal Breakers
Lack of provider enrollment experience, Inability to communicate effectively, No familiarity with HIPAA or insurance verification
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