Provider Enrollment Specialist
Tasks
- Communicate with payers and providers
- Coordinate temporary provider enrollments
- Ensure recredentialing requirements
- Follow up on enrollment delays
- Generate enrollment status reports
- Maintain credentialing system records
- Monitor recredentialing timelines
- Prepare payer enrollment applications
- Research out of network claims issues
- Submit payer enrollment updates
- Support audits
- Track payer enrollment status
- Update provider demographic information
Perks/Benefits
Skills/Tech-stack
Availity | CAQH | Credentialing | Cycle management | Data Management | Medical billing | Microsoft Office | NPI | Payer enrollment | Provider data | Provider data management | Recredentialing | Revenue Cycle | Revenue Cycle Management
Education
Associate Degree | Bachelor of Science | High School Diploma
Related jobs
-
Enrollment Specialist USD 32K-36KAdministrative support | Clerical procedures | Customer Service | Microsoft Office | Record KeepingFlexible paid time off | Mileage reimbursement | Professional growth opportunitiesEntry-level Full TimeAnniston, Alabama, United States; Talladega, Alabama, … R1d ago
-
Enrollment Specialist USD 32K-36KAdministrative support | Customer Service | Data Accuracy | Document Management | File ManagementFlexible paid time off | Mileage reimbursement | Professional growth opportunitiesEntry-level Full TimeDothan, Alabama, United States R1d ago
-
Enrollment Specialist (OR) USD 36K-36KAdministrative procedures | Customer Service | File Management | HIPAA compliance | Microsoft OfficeBenefits | Competitive wages | Flexible paid time off | Paid travelEntry-level Full TimeSalem, Oregon, United States R1d ago
-
Credentialing & Payor Enrollment Specialist USD 38K-46KCAQH | Credentialing | Excel | Medicaid | NPPES)Bonus incentives | Career advancement | Comprehensive benefits | Paid certifications | Travel reimbursement for work needsMid-level Full TimeWork at Home - Ohio - … R1d ago
-
Third Party Analytics Sr Specialist USD 96K-207KAnalytics reporting | Business Intelligence | Change Management | Data Governance | Data ManagementSenior-level Full TimeVirtual - Ohio, United States R1d ago
-
Data Governance | Data Modeling | Data Quality | Data Warehousing | Microsoft OfficeFlexible work arrangement eligibility | Remote work within USEntry-level Part TimePenn State University Park, United States R2d ago
-
P-17800 Managed Care Enrollment Specialist I USD 40K-75KCompliance | Credentialing | Customer Service | Data entry | Healthcare revenue cycleCareer mobility | Dental insurance | Employee assistance program | Employee discounts | Health insuranceEntry-level Full TimeAdministrative Campus, United States R2d ago
-
Data Quality Specialist USD 53K-53KCRM | Customer Service | Data Analysis | Data Governance | Data IntegrityFree parking | Health insurance | Paid Holidays | Parental leave | Professional developmentEntry-level Full TimeDenver R6d ago
-
Data Quality Specialist USD 53K-53KCRM | Customer Service | Data Analysis | Data Governance | Data IntegrityFlexible spending accounts | Free parking | Health insurance | Paid Holidays | Paid parental leaveEntry-level Full TimeDenver R6d ago
-
CRM | Confidentiality | Customer Service | Data entry | Digital CommunicationFull benefits package | Hybrid schedule | Incentive Bonus Opportunities | Mileage reimbursementSenior-level Full TimeUvalde, TX, United States R6d ago
-
Payer & Provider Enrollment Specialist USD 50K-55KCredentialing | Data review | HIPAA | Health plan portals | Medicaid401k | Dental insurance | Health insurance | Life insurance | Paid time offEntry-level Full TimeRemote, USA, United States R7d ago
-
Provider Enrollment Specialist USD 40K-48KClaims Processing | Credentialing | Data Analysis | Data tracking | Microsoft Excel401k retirement savings plan | Discounted services | Employee Assistance Program (EAP) | Flexible work hours | Medical, dental & vision coverageMid-level Full TimeUnited States - Remote R8d ago
-
Provider Enrollment Specialist USD 32K-40KCredentialing | Data Auditing | Healthcare contracting | Medicaid | Medicare401k matching | Dental insurance | Discounted services | Employee assistance program | Flexible work hoursMid-level Full TimeUnited States - Remote R9d ago
-
Enrollment Specialist USD 32K-36KAdministrative procedures | Clerical procedures | Customer Service | Document Management | File ManagementCompetitive wages | Flexible paid time off | Professional growthEntry-level Full TimeTuscaloosa, Alabama, United States R11d ago
-
Enrollment Specialist USD 32K-36KCustomer Service | Document Management | HIPAA | Microsoft OfficeCompetitive wages and benefits | Flexible paid time off | Professional growthEntry-level Full TimeMobile, Alabama, United States R11d ago
-
Enrollment Specialist USD 32K-36KCustomer Service | HIPAA | Microsoft OfficeCompetitive wages and benefits | Flexible paid time off | Professional growth opportunities | Remote work | Travel requiredEntry-level Full TimeMontgomery, Alabama, United States R11d ago
-
Enrollment Specialist USD 32K-36KAdministrative procedures | Clerical procedures | Customer Service | Document Management | File ManagementFlexible paid time off | Paid time offEntry-level Full TimeHuntsville, Alabama, United States R11d ago
-
Enrollment Specialist USD 32K-36KAdministrative procedures | Clerical procedures | Customer Service | Document Management | File ManagementCompetitive wages | Flexible paid time off | Health benefits | Professional growth opportunitiesEntry-level Full TimeBirmingham, Alabama, United States R11d ago
-
Program Enrollment Specialist USD 32K-36KAdministrative support | Confidentiality | Customer Service | Data Accuracy | Document ManagementFlexible paid time offEntry-level Full TimeAlabama, United States R13d ago
-
Provider Enrollment Specialist USD 42K-58KAdobe Acrobat | CAQH | Commercial Insurance | Credentialing | Managed care403b retirement plan | Critical illness insurance | Flexible spending account | Health savings account | Home and auto insuranceEntry-level Full TimeRemote, United States R13d ago
-
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 R16d ago
-
Associate Enrollment Specialist USD 61KApplication processing | Communication skills | Customer Data | Customer Data Management | Customer Relationship Management401k retirement plan | Dental insurance | Disability insurance | Employee stock purchase plan | Health insuranceMid-level Full TimeRemote, United States R16d 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 R20d 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 R20d 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 R20d ago