1d ago

Provider Enrollment Specialist

US

โœจ $45k-$60k / yearest.

full-timemid Remotehealthcare

๐Ÿ›  Tech Stack

๐Ÿ’ผ About This Role

You'll coordinate provider enrollment and credentialing across multiple payer systems including Medicare and Medicaid. You'll serve as a liaison between providers and payers to ensure timely onboarding and accurate participation data. This role directly impacts revenue cycle continuity in a complex healthcare environment.

๐ŸŽฏ What You'll Do

  • Coordinate provider enrollment across Medicare, Medicaid, and managed care.
  • Update enrollment databases with provider info and certifications.
  • Serve as liaison between providers, teams, and payer representatives.
  • Monitor licensing and credentialing documentation for compliance.

๐Ÿ“‹ Requirements

  • High school diploma or equivalent required.
  • 2+ years of experience in healthcare operations or provider enrollment.
  • Understanding of healthcare payer systems and managed care structures.
  • Proficiency in Microsoft Office (Word, Excel, Outlook, Access).

โœจ Nice to Have

  • Experience with credentialing software.
  • Knowledge of regulatory requirements like NCQA or CMS.
  • Associate or bachelor's degree in healthcare administration.

๐ŸŽ Benefits & Perks

  • ๐Ÿฅ Healthcare system employment with stable long-term opportunities
  • ๐Ÿ“ˆ Professional growth in credentialing and revenue cycle
  • ๐Ÿค Collaborative, mission-driven workplace
  • ๐Ÿ“‹ Standard benefits package (health, retirement, PTO)
  • ๐ŸŽ“ Structured onboarding within a large organization

๐Ÿ“จ Hiring Process

Estimated timeline: 2-3 weeks ยท AI estimate

  1. 1Recruiter Screenยท 15-30 min
  2. 2Hiring Manager Interviewยท 45 min
  3. 3Peer Interviewยท 30 min
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