Provider Enrollment Specialist
Tasks
- Communicate with payers and providers
- Coordinate temporary provider enrollments
- Follow up with payers
- Generate enrollment status reports
- Investigate provider participation status
- Maintain credentialing system records
- Manage recredentialing timelines
- Monitor enrollment status
- Prepare payer enrollment applications
- Research out of network claim issues
- Submit payer enrollment applications
- Support audits
- Track payer enrollment applications
- Update provider demographic information
Perks/Benefits
Skills/Tech-stack
Availity | CAQH | Credentialing | Cycle management | File Management | Microsoft Office | NPI | Payer enrollment | Provider File Management | Recredentialing | Revenue Cycle | Revenue Cycle Management
Education
Associate Degree | Bachelor of Science | High School Diploma
Related jobs
-
Technical Sales Specialist (BioAnalytics) USD 90K-125KCRM | Microsoft Office | Salesforce | Sfdc401k matching | Dental insurance | EAP | FSA | Flexible work schedulesMid-level Full TimeHome Office United States of America R1d ago
-
Provider Enrollment Specialist USD 48K-52KAvaility | Billing | CAQH | Credentialing | Cycle management401k matching | Dental insurance | Health insurance | Paid time off | Vision insuranceMid-level Full TimeNY - Remote, United States R1d ago
-
Availity | CAQH | Credentialing | Microsoft Excel | Microsoft OneNoteRemote work | Weekday scheduleMid-level Full TimeRemote Associate - Mississippi, United States R1d ago
-
Enrollment Specialist (OR) USD 36K-36KAdministrative procedures | Administrative support | Customer Service | Document Management | File ManagementFlexible paid time offEntry-level Full TimeEugene, Oregon, United States R6d ago
-
Enrollment Specialist (OR) USD 34K-36KCustomer Service | Data Accuracy | HIPAA | Microsoft OfficeBenefits | Competitive wages | Flexible paid time off | Professional growth opportunitiesEntry-level Full TimePortland, Oregon, United States R6d ago
-
Benefit Services - Member Fulfillment USD 40K-46KAdobe | Data Accuracy | Data entry | Google Workspace | KPI Management401k match | Employee assistance program | Health insurance | Hybrid work schedule | Medical insuranceEntry-level Full TimeDenver, CO - Hybrid R6d ago
-
Admissions & Registration Specialist - Enrollment Services (Johns Hopkins Center for Talented Youth) USD 50K-73KCourse registration | Customer Service | Data Analysis | Data entry | Information SystemHybrid work | Paid time off | Professional developmentMid-level Full TimeBaltimore, MD, United States R7d ago
-
Quantitative Asset Specialist USD 105K-135KAnalytical reporting | Business Intelligence | Controls Testing | Data Science | Enterprise governance401k plan | Dental insurance | Disability insurance | Health insurance | Life insuranceMid-level Full TimeCharlotte NC - Telecommuter, United States R7d ago
-
Quantitative Asset Senior Specialist USD 125K-140KControls Design | Controls Testing | End User Computing Risk | End-user computing | Governance401k plan | Dental insurance | Disability insurance | Health insurance | Life insuranceSenior-level Full TimeCharlotte NC - Telecommuter, United States R7d ago
-
Enrollment Specialist USD 48K-52KAdmissions | Application processing | Confidentiality | Customer Service | Data entry401k match | Dental insurance | Disability insurance | Health insurance | Life insuranceEntry-level Full Timeremote, REMOTE, United States R12d ago
-
Payer & Provider Enrollment Specialist USD 50K-55KCredentialStream | Credentialing software | Medicaid | Medicare | Payer PortalsEntry-level Full TimeRemote, USA, United States R15d ago
-
Enrollment Specialist (OR) USD 32K-36KAdministrative support | Customer Service | HIPAA | Microsoft Office | Oral CommunicationCompetitive wages | Flexible paid time off | Professional growth opportunitiesEntry-level Full TimeSalem, Oregon, United States R21d ago
-
Enrollment Specialist (AL) USD 32K-36KCustomer Service | Data Accuracy | HIPAA compliance | Microsoft OfficeFlexible paid time offEntry-level Full TimeAlabama, United States R21d ago
-
Credentialist - Provider Enrollment Specialist USD 36K-40KCredentialing | DEA Registration | Insurance Credentialing | Medical billing | Provider enrollmentFully remote | Opportunities for growth | Weekends off | Work-life balanceMid-level Full TimeToledo, Ohio, United States R29d ago
-
Acquisition Sales Specialist - AI Solutions USD 136K-253KCold calling | Communication skills | Email outreach | LinkedIn Sales Navigator | Microsoft OfficeAccess to employee assistance program | Employee incentive programs | Fitness reimbursement | Flexible vacation and paid time off | Flexible work life balance policiesExecutive-level Full TimeUnited States of America, Eagan, Minnesota R29d ago
-
Enrollment Specialist USD 48K-52KAdmissions | Critical Thinking | Customer Service | Data entry | Financial Aid401k | Dental insurance | Disability insurance | Health insurance | Life insuranceEntry-level Full TimePhoenix, AZ, United States R1mo ago
-
Enrollment Specialist USD 48K-52KAdmissions | Confidentiality | Customer Service | Data entry | Email communication401k retirement plan | Dental insurance | Disability insurance | Floating holidays | Health insuranceEntry-level Full TimeColumbia, MD, United States R1mo ago
-
Business Intelligence | Cause analysis | Cycle management | Data Analysis | Data Visualization401k match | Dental insurance | Employee assistance program | Employee discounts | Health insuranceMid-level Full TimeUnited States - Remote R1mo ago
-
CAQH | Credentialing software | Cycle management | Managed care | Medicaid401k match | Health insurance | Paid Holidays | Paid time offMid-level Full TimeRemote – must live in the … R1mo ago
-
Provider Credentialing & Enrollment Specialist USD 45K-55KApplication processing | CAQH | Credentialing | Denial Management | ETINPart-time | Remote work | Temporary positionEntry-level Part TimeRemote - United States, United States R1mo ago
-
Remote - Enrollment Specialist USD 32K-60KData entry | Excel | Microsoft Office | Outlook | Skype401k match | Career growth | Flexible schedule | Fully remote | Health benefitsMid-level Full TimeSalt Lake City, Utah, United States … R1mo ago
-
Remote - Enrollment Specialist USD 32K-60KCustomer Service | Data entry | Excel | Healthcare Enrollment | Microsoft Office401k match | Advancement opportunities | Dental insurance | Fully remote | Health insuranceMid-level Full TimePennsylvania, United States - Remote R1mo ago
-
Remote - Enrollment Specialist USD 32K-60KCustomer Service | Data entry | Excel | Microsoft Office | Multi-tasking401k match | Advancement opportunities | Dental insurance | Fully remote | Health insuranceMid-level Full TimeTennessee, United States - Remote R1mo ago
-
Provider Enrollment Specialist USD 90K-161KAdobe Acrobat | CAQH | Credentialing | Excel | Healthcare ComplianceMid-level Full TimeUnited States R1mo ago