Provider Enrollment Coordinator

HealthPartners Clinic Stillwater•Bloomington, MN

1d•$24 - $36

About The Position

HealthPartners is hiring a Provider Enrollment Coordinator to manage provider enrollment and revalidation with federal, state, and commercial payers, ensuring timely and accurate participation status. The role supports the onboarding lifecycle for physicians, advanced practice clinicians, and other healthcare providers by coordinating documentation, tracking application progress, and communicating updates to internal stakeholders and external agencies. The coordinator ensures compliance with organizational standards and payer-specific requirements to help prevent revenue disruption and improve operational efficiency. The position covers enrollment across 10 entities and several outside contract entities. It includes preparing and tracking initial applications and revalidations; maintaining provider information; monitoring approvals; updating enrollment databases; and entering assigned plan codes in EPIC after enrollment confirmation. The coordinator also collaborates with recruitment, credentialing, and clinic operations teams, assists providers with payer documentation, and supports accurate records, audits, quality reviews, and process improvement. HealthPartners describes itself as a nonprofit integrated health care organization providing insurance in six states and care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. The organization emphasizes inclusion, diversity, health equity, community partnership, and improving the health and well-being of patients, members, and communities.

Requirements

High school diploma or equivalent.
At least 2 years of experience in provider enrollment, medical staff services, credentialing, or revenue cycle operations.
Strong knowledge of Medicare and Medicaid enrollment processes and commercial payer requirements.
Strong organizational skills and attention to detail.
Ability to manage multiple deadlines and shift priorities.
Strong communication skills and comfort interacting with providers and payer representatives.

Nice To Haves

Associate or bachelor's degree in business, healthcare administration, or a related field.
Experience with CAQH, PECOS, NPPES, and common credentialing or enrollment software systems.

Responsibilities

Prepare, submit, and track initial enrollment applications for Minnesota and Wisconsin Medicare and Medicaid, as well as contractual plans, following plan requirements.
Prepare and submit revalidations for Minnesota and Wisconsin Medicare and Medicaid and commercial insurance plans.
Reassign providers with Medicare Part A for Critical Access Hospitals.
Maintain provider records, including name changes, terminations, and practice-location changes.
Monitor approval timelines and proactively address enrollment delays or discrepancies.
Update CAQH, PECOS, NPPES, and contractual payer plan databases.
Re-attest provider data every 120 days for contractual plans.
Enroll providers with out-of-state Medicaid programs according to state-specific requirements.
Add assigned plan codes in EPIC after enrollment confirmation is received.
Coordinate with recruitment, credentialing, and Clinic Operations to align provider start dates and enrollment readiness.
Assist providers with payer-required documentation and signatures.
Serve as an enrollment subject matter expert for leadership, recruiters, and clinic teams.
Provide providers with a positive and professional onboarding experience.
Ensure enrollment processes comply with federal and state regulations, payer guidelines, and organizational policies.
Maintain accurate digital records of applications, correspondence, approvals, and effective dates.
Support audits, quality reviews, and process improvement initiatives.