Provider Enrollment Specialist
$41,600–$52,000 year
Remote · Arizona, United States or Texas, United States
Job Summary
Remote Provider Enrollment Specialist role focusing on managing enrollment, revalidation, and recredentialing of healthcare providers with government and commercial payers. Responsibilities include submitting and tracking enrollment applications (Medicare, Medicaid, and commercial plans), maintaining provider demographics and credentials in enrollment systems, serving as the main liaison with payers and internal teams, reviewing applications for completeness and compliance, resolving discrepancies, coordinating with credentialing, billing, compliance, and contracting to minimize claim rejections, ensuring timely revalidation/recredentialing, and staying current with payer guidelines and CMS regulations. Requires strong attention to detail, excellent data entry and communication skills, and prior experience in payer credentialing. Education: Associate’s degree in Business Administration or related field or equivalent experience; two-plus years of credentialing experience. Salary is presented as base pay and may vary by market; full-time position with benefits and discretionary bonus per company policy.
Required Qualifications
- Two plus years of experience in payer credentialing
- Associate’s degree in Business Administration or related field, or equivalent combination of education and experience required
- Two years of credentialing experience required
- Demonstrated working knowledge of healthcare and credentialing industry, including medical-legal issues and laws, regulatory agencies, and other national standards preferred
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