Provider Enrollment and Payment Posting Specialist

## Description

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• Completed and submitted individual provider enrollments and re-enrollments for Medicare, Medicaid, and Cigna in accordance with payer requirements.
• Processed organization and facility enrollments and re-enrollments across multiple insurance payers, ensuring compliance with all applicable guidelines.
• Monitored enrollment timelines and ensured timely submission to prevent gaps in provider participation and reimbursement.
• Maintained accurate and up-to-date credentialing files, including licenses, certifications, and supporting documentation.
• Assisted the Payment Posting Lead by entering Explanation of Benefits (EOBs) from insurance carriers and patient payments with a high degree of accuracy.
• Performed additional administrative and operational duties as assigned to support department efficiency and compliance.

## Qualifications

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• Associate’s or Bachelor’s degree (4-year diploma preferred).
• Proficient in PC operations, with strong working knowledge of Microsoft Office applications, including Word and Outlook.
• Familiarity with medical billing software required.
• Solid understanding of third-party medical billing processes and insurance workflows.
• Minimum of one year of related experience in medical billing, credentialing, or healthcare administration.
• Excellent verbal and written communication skills, including professional and courteous telephone etiquette.