Sr. Provider Enrollment Specialist
Included Health(4 days ago)
About this role
The Provider Enrollment Sr. Specialist ensures healthcare providers are properly enrolled and credentialed with insurance payers, regulatory bodies, and internal systems to enable timely reimbursement and compliance. The role oversees the provider enrollment lifecycle—including initial credentialing, recredentialing, and demographic updates—and serves as a subject matter expert for internal teams.
Required Skills
- Provider Enrollment
- Credentialing
- Recredentialing
- Payer Communication
- Data Entry
- Compliance
- CAQH
- PECOS
- EHR
- Revenue Cycle
Qualifications
- Associate’s Degree
- Bachelor’s Degree Preferred
- CPCS
- CPMSM
About Included Health
includedhealth.comIncluded Health is a digital healthcare company that delivers personalized, all‑in‑one virtual care, care navigation, and community support for employers, health plans, and members. Its platform connects people to virtual primary and mental healthcare, expert medical opinions, and navigation services to guide complex care decisions and specialty referrals. Included Health aims to improve outcomes and reduce costs through integrated care coordination, telehealth, and tailored member engagement with an emphasis on equity and underserved populations. Founded in 2021 and led by Owen Tripp, the company partners with employers and payers to modernize employee and member healthcare.
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