Formativ Health

  • Provider Enrollment & Support Services Specialist

    Job ID
    Employment Type
    Hours Per Week
  • Overview

    The Provider Enrollment and Support Services Specialist is responsible for assisting providers with obtaining and maintaining licensure, privileges at facilities and credentials with insurance companies and other payers. 


    • Completes, reviews and updates all credentialing and re-credentialing applications
    • Completes and reviews various enrollment applications for insurance credentialing and malpractice insurance
    • Maintains physician files on CAQH database
    • Contacts providers as necessary to obtain documents
    • Updates and maintains credentialing database
    • Provides status of credentialing process to physician clients and PM clients regularly
    • Maintain confidentiality at all times
    • Perform additional duties as needed


    • High School Diploma or GED
    • Familiar with various payer requirements for physician credentialing including Medicare, Medicaid, and private payers
    • Familiar with malpractice documentation 
    • Familiar with physician CVs and licensing requirements
    • Familiar with physician board certification documents
    • Strong organizational skills with attention to detail
    • Excellent communication skills (via telephone and electronic)
    • Shows initiative to accomplish tasks
    • Knowledge of business office procedures
    • Ability to operate a computer and basic office equipment
    • Ability to operate a multi-line telephone
    • Ability to establish and maintain effective working relationships with clients, co-workers, supervisors, and managers

    About Formativ Health

    At Formativ Health we believe in empowering physicians to focus on patient care. Through our partnership, hospitals and health systems are able to improve efficiency, increase revenue, and better focus on the health and satisfaction of the patients they treat.


    Formativ is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.


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