Managed Care Provider Enrollment Specialist

Job not on LinkedIn

🕒 September 18

🌪️ Oklahoma, Missouri – Remote

🌪️ Oklahoma – Remote 🏰 Missouri – Remote

💵 $17 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 33%

What it means: the chance that no one is really hiring for this job.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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Burrell Behavioral Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1977

🏥 Healthcare

🌍 Social Impact

Healthcare • Social Impact

Burrell Behavioral Health is the second-largest behavioral health center in Missouri, dedicated to creating access points for care in mental health. The organization serves over 40,000 clients across 18 counties, providing a full continuum of care through its network of more than 400 licensed providers. Their services include individual therapy and counseling, recovery services, psychiatric and medication management, crisis intervention, telehealth services, and support for developmental disabilities, among others. Burrell is committed to advancing, expanding, and improving behavioral health in its communities.

📋 Description

• Complete initial provider enrollment, payer enrollment, and revalidation applications accurately and within required deadlines • Maintain complete provider records, credentials, practice locations, services, payer data, and application statuses • Coordinate with providers and internal teams to obtain documentation, verify information, resolve discrepancies, and communicate updates • Monitor enrollment applications and outstanding items to support timely payer approval and minimize reimbursement delays • Audit payer records and provider data to identify errors, maintain compliance, and protect data integrity • Prepare managed care reports, tracking tools, enrollment documentation, and status updates using Microsoft Excel and other business systems • Serve as a liaison for external privileging, payer requests, and contractual enrollment requirements • Research payer policies, enrollment requirements, and industry updates and translate findings into clear next steps • Collaborate with Managed Care, Credentialing, Revenue Cycle, Operations, and other teams to improve provider enrollment processes • Support timely reimbursement, compliant operations, and continued access to healthcare services

🎯 Requirements

• High school diploma, GED, or equivalent • Professional experience in an administrative, office, data-management, insurance, billing, claims, healthcare, financial-services, or similarly detail-focused business environment • Experience maintaining accurate records, processing detailed information, and meeting established deadlines • Professional experience using Microsoft Office applications, including Microsoft Excel • Ability to work independently in a remote environment with reliable organization, time management, and follow-through • Exceptional organization, accuracy, follow-through, and attention to detail • Strong written and verbal communication and customer-service skills • Ability to research payer policies and convert complex requirements into actionable steps • Ability to manage multiple applications, projects, deadlines, and stakeholder requests simultaneously • Strong analytical, auditing, problem-solving, and process-improvement skills • Ability to protect confidential provider, organizational, and healthcare information • Reliable professional workspace and ability to collaborate effectively in a remote work environment • Perform essential functions with or without reasonable accommodation • Healthcare revenue cycle experience, including patient billing, insurance claims, collections, payment processing, reimbursement, or related payer functions (preferred) • Provider enrollment, payer enrollment, managed care, provider credentialing, privileging, or revalidation experience (preferred) • Experience communicating with commercial insurance carriers, Medicaid, Medicare, managed care organizations, or other healthcare payers (preferred) • Advanced Microsoft Excel experience, including sorting, filtering, formulas, data validation, and tracking large amounts of information (preferred) • Experience working remotely in healthcare administration, revenue cycle, insurance, credentialing, or provider support (preferred)

🏖️ Benefits

• All-inclusive full-time employee benefits package including health, dental, vision, retirement, disability, life insurance, wellness program, generous paid time off, and more • Telemedicine with 24/7 medical, behavioral health, and dermatology visits • Employee Assistance Program with 24/7 counseling services, legal assistance, and financial consultation at no cost • Career advancement and wage growth opportunities • Comprehensive initial, ongoing, and supportive on-the-job training • Remote work opportunity and work-from-home flexibility • Career mobility and advancement opportunities/promoting from within • Workplace culture promoting employee wellbeing, health, happiness, and supportive engagement

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