Provider Enrollment Specialist

Job Summary

To support the Provider Enrollment Manager, the full-time remote Provider Enrollment Specialist will research and resolve payer enrollment issues, manage the completion of applications for Medicare and Medicaid, and maintain documentation related to provider enrollments.

Key responsibilities

• Perform follow-up with market locations and CMS to resolve payer enrollment issues
• Manage the completion and submission of applications for Medicare, State Medicaid, and other third-party payers
• Track and manage payer revalidation dates to maintain active enrollment and prevent deactivation

Required qualifications

• Associate's degree required; Bachelor's degree in a related field preferred
• At least one year of provider enrollment experience preferred
• Working knowledge of CMS, State Medicaid, and third-party payer application requirements
• Ability to maintain confidentiality regarding protected provider and health information
• Strong organizational skills and ability to work independently with minimal supervision