Provider Enrollment Specialist

🕒 August 19

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 30%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Bridgeview Eye Partners

Bridgeview Eye Partners

501 - 1000 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Bridgeview Eye Partners is a physician-led management services organization that partners with independent eye care practices to deliver full-scope, integrated eye care. It offers administrative support, strategic growth resources, financial backing, and access to ambulatory surgery centers and provider networks while preserving each practice's brand and clinical autonomy. Headquartered in Wabash, Indiana, Bridgeview focuses on improving patient outcomes and operational efficiency across rural and urban communities.

📋 Description

• Manage provider and facility payer enrollment applications from preparation through completion, ensuring accuracy and timely submission • Collect, review, and verify documentation required for provider and facility enrollments • Complete payer enrollment, hospital credentialing, professional licensure, and related applications in accordance with payer requirements and government regulations • Maintain accurate information across credentialing and enrollment databases and payer portals, including Availity, CAQH, NaviNet, NPPES, and PECOS • Monitor pending applications, identify deficiencies, and proactively resolve issues to keep enrollments on track • Research and resolve provider and facility enrollment issues with internal teams and external payer contacts • Monitor revalidations, license renewals, and other required updates to ensure providers remain compliant and enrolled • Support the Credentialing Manager with new facilities, locations, and providers as the organization expands into new markets • Escalate complex or unresolved credentialing and enrollment issues appropriately • Provide responsive, professional support to internal stakeholders throughout the enrollment process • Report to the Credentialing Manager • Work in a professional office or remote office environment in a primarily sedentary, computer-based role

🎯 Requirements

• High school diploma or equivalent • Minimum of three (3) years of experience with provider enrollment • Proficiency with Microsoft Office, including Outlook, Teams, Word, and Excel • Ability to manage multiple priorities, meet deadlines, and maintain accuracy in a highly detail-oriented environment • Strong communication and customer service skills • Demonstrated accountability, professionalism, and integrity • Proficient knowledge working with Medicare and Medicaid • Experience with the provider enrollment lifecycle from onboarding to fully enrolled • Experience working with CAQH (now called Data Spring) and PECOS • Preferred: Bachelor’s degree in Business, Healthcare Administration, or a related field • Preferred: Experience with MedTrainer Credentialing software • Preferred: Knowledge of managed care contracts and payer requirements

🏖️ Benefits

• Competitive hourly wage • Paid holidays • 2 Floating Holidays • Approximately 10 days of PTO within first year • Medical benefits • Dental benefits • Vision benefits • 401(k)

Apply Now

Similar Jobs

🕒 July 17

Gainwell Technologies

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

Provider Enrollment Specialist supporting provider enrollment in the Nevada Medicaid Program remotely. Engaging with providers to ensure complete and accurate documentation for enrollment.

🇺🇸 United States – Remote

💰 Grant on 2023-06

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

infoinfo

🕒 June 25

Total Life

1 - 10

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Provider Enrollment & Credentialing Specialist at Total Life ensuring qualified clinicians for senior mental health care. Manage credentialing processes and collaborate with internal teams to maintain compliance.

🇺🇸 United States – Remote

💵 $50k - $70k / year

💰 Seed Round on 2022-01

⏰ Full Time

🟢 Junior

🟡 Mid-level

🕒 June 24

T3Cogno

51 - 200

👥 HR Tech

🤝 B2B

💼 Consulting

Provider Enrollment Specialist responsible for coordinating health insurance network enrollments and managing credentialing processes for medical providers.

🕒 June 24

Quality Home Care Michigan

1 - 10

🏥 Healthcare

👥 B2C

🧘 Wellness

Home Care Credentialing & Provider Enrollment Specialist managing provider credentialing and payer enrollment activities for a home healthcare agency. Collaborating with operations and billing teams to ensure compliance across networks.