Managed Care Provider Enrollment Specialist - Administrative Experience Required

Brightli•St. Louis, MO

6d•$18 - $26•Remote

About The Position

The Managed Care Enrollment Specialist I supports healthcare providers in remaining enrolled with payers and ready to deliver care. This remote role completes provider enrollment and revalidation applications, maintains accurate payer and provider records, monitors deadlines, and helps resolve issues that could affect reimbursement or access to services. The position is suitable for candidates with professional administrative experience managing detailed records, applications, data, reports, or deadline-driven processes. Healthcare revenue cycle experience is strongly preferred, while relevant administrative experience and the ability to learn managed care processes may also be considered. The specialist coordinates with providers and internal teams, audits records, prepares reports and tracking tools, researches payer requirements, and collaborates across Managed Care, Credentialing, Revenue Cycle, Operations, and other teams to support accurate and timely enrollment. The role is remote and requires reliable organization, time management, follow-through, and a professional workspace. The employer describes a full-time benefits package that includes health, dental, vision, retirement, disability, life insurance, wellness programming, and paid time off. Other offerings include telemedicine, an Employee Assistance Program, comprehensive on-the-job training, career advancement opportunities, and a supportive workplace culture.

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.
Strong 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.

Nice To Haves

Healthcare revenue cycle experience, including patient billing, insurance claims, collections, payment processing, reimbursement, or related payer functions.
Experience with provider enrollment, payer enrollment, managed care, provider credentialing, privileging, or revalidation.
Experience communicating with commercial insurance carriers, Medicaid, Medicare, managed care organizations, or other healthcare payers.
Advanced Microsoft Excel experience, including sorting, filtering, formulas, data validation, and tracking large amounts of information.
Experience working remotely in healthcare administration, revenue cycle, insurance, credentialing, or provider support.

Responsibilities

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.

Benefits

Health insurance
Dental insurance
Vision insurance
Retirement benefits
Disability insurance
Life insurance
Wellness program
Paid time off
Telemedicine services
Employee Assistance Program, including counseling, legal assistance, and financial consultation at no cost
Comprehensive on-the-job training
Career advancement and wage-growth opportunities
Remote work opportunity