Provider Enrollment & Credentialing Specialist

Bridgeview Eye Partners; Wabash (IN); Hybrid; USD 25,000 - 36,000; Full time

Benefits offered by this job

Competitive hourly wage

Paid holidays + 2 Floating Holidays

Approximately 10 days of PTO within 1年

Benefits including medical, dental, &_

Job summary

Bridgeview Eye Partners is seeking a detail-oriented Provider Enrollment Specialist to join our Credentialing team. You will help ensure our providers and facilities are enrolled with government, managed care, and commercial payers so patients receive uninterrupted eye care.

If you enjoy managing details, solving problems across departments, and keeping complex processes moving forward, this could be a great opportunity for you.

Qualifications

• High school diploma or equivalent required; bachelor's preferred in related field.
• Min. 3 years' experience with provider enrollment.
• Strong organizational skills and exceptional attention to detail.
• Proficiency with Microsoft Office suite (Outlook, Teams, Word, Excel).
• Ability to manage multiple priorities and meet deadlines.

Responsibilities

• Manage provider and facility payer enrollment applications from start to finish.
• Collect, review, and verify enrollment documentation.
• Complete payer enrollment, credentialing, and licensure applications per requirements.
• Maintain accurate data across credentialing databases and payer portals.
• Monitor pending applications and resolve deficiencies to keep enrollments on track.
• Research and resolve enrollment issues with internal and external contacts.
• Monitor license renewals and revalidations to ensure ongoing compliance.
• Assist Credentialing Manager with new facilities, locations, and providers.

Skills

Organizational skills

Attention to detail

Communication skills

Customer service

Accountability & integrity

Education

High school diploma or equivalent

Bachelor’s degree in Business or Healthcare Administration

Tools

Microsoft Office

Outlook/Teams/Word/Excel

Job description

Bridgeview Eye Partners is seeking a detail-oriented Provider Enrollment Specialist to join our Credentialing team. You will help ensure our providers and facilities are enrolled with government, managed care, and commercial payers so patients receive uninterrupted eye care.

If you enjoy managing details, solving problems across departments, and keeping complex processes moving forward, this could be a great opportunity for you.