Provider Enrollment Specialist

Job not on LinkedIn

🔥 12 hours ago

🗽 New York – Remote

🗽 New York – Remote

💵 $24 - $28 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 20%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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ASPEN DENTAL GROUP, PC

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 1998

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Aspen Dental Group, PC is a dental care organization dedicated to providing comprehensive dental services to patients while supporting dental professionals in their careers. The company emphasizes the importance of bringing better care to more people by investing in employee success through training, support, and a proven practice model. Aspen Dental's approach includes offering industry-leading pay, tuition reimbursement, and opportunities for career advancement, with a commitment to diversity and community impact. With over 25 years of experience, Aspen Dental also contributes to charitable efforts by donating free dental care and focuses on providing a collaborative and inclusive workplace.

📋 Description

• Prepare, submit and track payer enrollment applications for new providers and existing provider changes • Maintain accurate records of enrollment activities in the credentialing system • Communicate with insurance companies, healthcare providers and internal departments to ensure efficient processing • Monitor enrollment status and follow up with payers to resolve delays or issues • Update provider demographic and practice information with contract payers • Maintain recredentialing timelines and requirements to prevent enrollment lapses • Collaborate with Field Support, Operations and Revenue Cycle Management teams on escalated enrollment or credentialing issues • Research and resolve out-of-network claims issues by investigating provider participation status and enrollment effective dates • Coordinate temporary provider enrollments and complete required documentation, linkage and payer updates • Collaborate with RCM on enrollment status and provide reports as needed • Generate and maintain enrollment status reports • Support audits and perform other duties as assigned • Report to the Enrollment Manager

🎯 Requirements

• High school diploma or equivalent required • Associate or Bachelor’s degree preferred • 1–3 years of experience in payor enrollment • Working knowledge of commercial payors and government payor requirements • Proficient in Microsoft Office and credentialing software including CAQH and Availity • Strong attention to detail, organization and follow-up skills • Excellent communication and customer service abilities interacting with internal teammates and external clients • Strong analytical and problem-solving skills • Experience working with multi-specialty large group practices preferred; dentistry is a plus • Knowledge of revenue cycle and billing processes preferred • Familiarity with NPI and file provider management preferred

🏖️ Benefits

• Paid time off • Health insurance • Dental insurance • Vision insurance • 401(k) savings plan with match