Provider Enrollment Specialist

🔥 0 minutes ago

🌵 Arizona, Florida, +4 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🗻 New Hampshire – Remote 🌲 North Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $20 - $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

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National Partners In Healthcare

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2018

🏥 Healthcare

🤝 B2B

🏢 Enterprise

Healthcare • B2B • Enterprise

National Partners In Healthcare is a physician-led anesthesiology services company that partners with hospitals, health systems, and independent anesthesiology practices to deliver clinical anesthesiology care, practice management, and operational optimization. The company emphasizes physician and CRNA autonomy, transparency, and data-driven quality improvement, offering revenue cycle and practice management platforms, KPI reporting, and strategies to maximize OR efficiency across a national platform operating in multiple U. S. markets. National Partners in Healthcare focuses on long-term collaborative partnerships with providers, facilities, surgeons, and payors to improve patient outcomes and practice sustainability.

📋 Description

• Prepare, submit, and track provider enrollment, revalidation, and recredentialing applications with government and commercial payers • Maintain accurate provider demographic, licensure, certification, and contract information in enrollment systems, credentialing databases, and payer portals • Serve as the primary contact for providers regarding enrollment status, documentation requirements, timelines, and payer correspondence • Review applications for completeness, accuracy, and compliance before submission • Communicate with payer representatives to resolve discrepancies, follow up on submissions, and address denials or terminations • Coordinate with credentialing, billing, compliance, and contracting departments to align provider data and minimize claim rejections • Monitor enrollment statuses and resolve issues that could delay provider activation or disrupt reimbursement • Document enrollment activities, correspondence, and approvals according to organizational policies and audit standards • Ensure timely revalidation and recredentialing to prevent lapses in payer participation • Stay current on payer enrollment guidelines, CMS regulations, and industry best practices • Maintain daily, ongoing contact with administrative staff, clinical providers, and outside contacts • Perform other duties as assigned

🎯 Requirements

• Residence in Arizona, Texas, Tennessee, New Hampshire, Florida, or North Carolina • High school education level listed • Associate’s degree in Business Administration or related field, or equivalent combination of education and experience required • Two plus years of experience in payer credentialing required • Two years of credentialing experience required • Two to five years of experience and proven proficiency in provider enrollment payer credentialing required • Excellent computer, data entry, and clerical skills • Knowledge of business office procedures • Excellent interpersonal, telephone, and communication skills • Ability to multitask and handle situations requiring judgment and poise • Attention to detail and organizational abilities • Working knowledge of the healthcare and credentialing industry, including medical-legal issues, laws, regulatory agencies, and national standards preferred

🏖️ Benefits

• Full-time positions are eligible for a discretionary bonus • Comprehensive benefits package • Career advancement opportunities • Healthy work/life balance • Opportunity and encouragement to reach potential