1d ago
Provider Enrollment Specialist
US
โจ $45k-$60k / yearest.
full-timemid Remotehealthcare
๐ Tech Stack
๐ผ 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.
๐ฏ 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.
๐ 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).
โจ Nice to Have
- Experience with credentialing software.
- Knowledge of regulatory requirements like NCQA or CMS.
- Associate or bachelor's degree in healthcare administration.
๐ Benefits & Perks
- ๐ฅ Healthcare system employment with stable long-term opportunities
- ๐ Professional growth in credentialing and revenue cycle
- ๐ค Collaborative, mission-driven workplace
- ๐ Standard benefits package (health, retirement, PTO)
- ๐ Structured onboarding within a large organization
๐จ Hiring Process
Estimated timeline: 2-3 weeks ยท AI estimate
- 1Recruiter Screenยท 15-30 min
- 2Hiring Manager Interviewยท 45 min
- 3Peer Interviewยท 30 min
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