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.

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.

Provider Enrollment and Payment Posting Specialist

Job Description