Provider Enrollment Specialist

Provider Enrollment Specialist

Join Blue Cloud Pediatric Surgery Centers to manage payer enrollment and credentialing for pediatric ASC providers.

• Facilitate initial and recredentialing payer enrollment applications for Medicare, Medicaid, and commercial insurers.
• Ensure applications are complete, accurate, and submitted within specified time frames.
• Track status of enrollment applications and follow up with payers to resolve issues.
• Maintain accurate records of provider information and enrollment status in credentialing software.
• Collaborate with billing, revenue cycle, and provider relations to address enrollment questions and billing issues.
• Complete and submit EFT agreements with payers.

• Provider Enrollment experience preferred
• Experience with CAQH, PECOS, and Availity
• Proficient in Microsoft Office (Word & Excel)
• Excellent written and verbal communication skills
• Experience with credentialing software a plus

• Minimum 3 years of experience in Provider Enrollment

• Health insurance, flexible spending, and health savings accounts, disability coverage and additional voluntary plans
• 401k plan with company match
• Paid Time Off
• No on call, no holidays, no weekends
• Pay Scale: $22-$26/hr
• Remote Opportunity – AZ, , TN, MO, TX, MD, CO, FL, PA, SC

Work Location:

Remote (Not eligible for CA employees)