Provider Enrollment Specialist

Job Summary

To support a growing team, the full-time remote Provider Enrollment Specialist will manage payer enrollment issues, resolve denials, and ensure the completion and submission of necessary applications while collaborating with clients and CMS.

Key responsibilities

• Research and resolve payer enrollment issues through follow-ups with market locations and CMS
• Manage the completion and submission of CMS Medicare, State Medicaid, and third-party payer applications
• Maintain documentation and tracking of provider demographics and enrollment statuses across applicable systems

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 strict confidentiality regarding protected provider and health information
• Experience with enrollment systems and managing complex enrollment packages