Provider Enrollment Specialist
Resume Work Experience Examples & Samples
Overview of Provider Enrollment Specialist
A Provider Enrollment Specialist is responsible for ensuring that healthcare providers are properly enrolled and credentialed with insurance companies, government programs, and other payers. This role involves a thorough understanding of the enrollment process, including the submission of necessary documentation, verification of provider information, and compliance with regulatory requirements. The Specialist must also maintain accurate records and communicate effectively with providers, payers, and internal teams to ensure a smooth enrollment process.
The role of a Provider Enrollment Specialist is critical to the success of healthcare organizations, as it ensures that providers can receive reimbursement for their services. This position requires strong attention to detail, excellent organizational skills, and the ability to manage multiple tasks simultaneously. Additionally, the Specialist must stay up-to-date with changes in regulations and policies that affect the enrollment process.
About Provider Enrollment Specialist Resume
A Provider Enrollment Specialist resume should highlight the candidate's experience with the enrollment process, including their ability to navigate complex regulatory environments and their proficiency with relevant software and systems. The resume should also emphasize the candidate's communication skills, as this role requires frequent interaction with providers, payers, and internal teams.
In addition to experience, a strong Provider Enrollment Specialist resume should showcase the candidate's attention to detail, organizational skills, and ability to manage multiple tasks simultaneously. The resume should also demonstrate the candidate's commitment to staying up-to-date with changes in regulations and policies that affect the enrollment process.
Introduction to Provider Enrollment Specialist Resume Work Experience
The work-experience section of a Provider Enrollment Specialist resume should provide a detailed account of the candidate's experience with the enrollment process, including their role in submitting documentation, verifying provider information, and ensuring compliance with regulatory requirements. This section should also highlight the candidate's ability to maintain accurate records and communicate effectively with providers, payers, and internal teams.
In addition to detailing the candidate's experience, the work-experience section should also emphasize the candidate's ability to manage multiple tasks simultaneously and stay up-to-date with changes in regulations and policies. This section should provide a clear picture of the candidate's qualifications and experience, demonstrating their ability to excel in the role of a Provider Enrollment Specialist.
Examples & Samples of Provider Enrollment Specialist Resume Work Experience
Provider Enrollment Specialist
HealthFirst Partners, Provider Enrollment Specialist, 1984 - 1986. Managed provider enrollment for multiple insurance programs. Collaborated with providers to resolve issues and ensure timely enrollment.
Provider Enrollment Specialist
MediHealth Services, Provider Enrollment Specialist, 1990 - 1992. Processed and submitted provider enrollment applications to insurance carriers. Conducted regular follow-ups with providers to ensure timely submission of required documents.
Provider Enrollment Specialist
MediHealth Services, Provider Enrollment Specialist, 1980 - 1982. Managed provider enrollment for multiple insurance programs. Collaborated with providers to resolve issues and ensure timely enrollment.
Provider Enrollment Specialist
CarePlus Solutions, Provider Enrollment Specialist, 1982 - 1984. Processed and submitted provider enrollment applications to insurance carriers. Conducted regular follow-ups with providers to ensure timely submission of required documents.
Provider Enrollment Specialist
HealthCare Partners, Provider Enrollment Specialist, 1988 - 1990. Managed provider enrollment for multiple insurance programs. Collaborated with providers to resolve issues and ensure timely enrollment.
Provider Enrollment Specialist
HealthCare Partners, Provider Enrollment Specialist, 1998 - 2000. Processed and submitted provider enrollment applications to insurance carriers. Conducted regular follow-ups with providers to ensure timely submission of required documents.
Provider Enrollment Specialist
CarePlus Solutions, Provider Enrollment Specialist, 1992 - 1994. Managed provider enrollment for multiple insurance programs. Collaborated with providers to resolve issues and ensure timely enrollment.
Provider Enrollment Specialist
HealthCare Partners, Provider Enrollment Specialist, 2008 - 2010. Managed provider enrollment for multiple insurance programs. Collaborated with providers to resolve issues and ensure timely enrollment.
Provider Enrollment Specialist
HealthFirst Partners, Provider Enrollment Specialist, 1994 - 1996. Reviewed and processed provider enrollment applications for accuracy and completeness. Provided training to new staff on enrollment procedures.
Senior Provider Enrollment Specialist
CarePlus Solutions, Senior Provider Enrollment Specialist, 2012 - 2014. Supervised a team of three enrollment specialists. Developed and implemented new enrollment procedures, resulting in a 25% increase in efficiency.
Provider Enrollment Specialist
Healthcare Solutions Inc., Provider Enrollment Specialist, 2018 - Present. Managed a caseload of 100+ providers, ensuring timely and accurate enrollment in Medicare, Medicaid, and commercial insurance programs. Streamlined the enrollment process, reducing processing time by 20%.
Provider Enrollment Coordinator
MediCare Services, Provider Enrollment Coordinator, 2016 - 2018. Coordinated with providers to gather and verify necessary documentation for enrollment. Assisted in resolving discrepancies and issues related to provider enrollment, improving provider satisfaction by 15%.
Provider Enrollment Specialist
HealthFirst Partners, Provider Enrollment Specialist, 2014 - 2016. Processed and submitted provider enrollment applications to insurance carriers. Conducted regular follow-ups with providers to ensure timely submission of required documents.
Provider Enrollment Specialist
CarePlus Solutions, Provider Enrollment Specialist, 2002 - 2004. Reviewed and processed provider enrollment applications for accuracy and completeness. Provided training to new staff on enrollment procedures.
Provider Enrollment Specialist
MediHealth Services, Provider Enrollment Specialist, 2000 - 2002. Managed provider enrollment for multiple insurance programs. Collaborated with providers to resolve issues and ensure timely enrollment.
Provider Enrollment Specialist
MediCare Solutions, Provider Enrollment Specialist, 1996 - 1998. Managed provider enrollment for multiple insurance programs. Collaborated with providers to resolve issues and ensure timely enrollment.
Provider Enrollment Specialist
MediCare Solutions, Provider Enrollment Specialist, 2006 - 2008. Processed and submitted provider enrollment applications to insurance carriers. Conducted regular follow-ups with providers to ensure timely submission of required documents.
Provider Enrollment Specialist
MediCare Solutions, Provider Enrollment Specialist, 1986 - 1988. Reviewed and processed provider enrollment applications for accuracy and completeness. Provided training to new staff on enrollment procedures.
Provider Enrollment Specialist
HealthFirst Partners, Provider Enrollment Specialist, 2004 - 2006. Managed provider enrollment for multiple insurance programs. Collaborated with providers to resolve issues and ensure timely enrollment.
Provider Enrollment Specialist
MediHealth Services, Provider Enrollment Specialist, 2010 - 2012. Reviewed and processed provider enrollment applications for accuracy and completeness. Provided training to new staff on enrollment procedures.
