Provider Enrollment Specialist

Coronis HealthEl Paso, TX
70d$22 - $27

About The Position

The Enrollment Specialist is responsible for managing all aspects of payer enrollment to ensure providers are properly credentialed and active with health plans. This role requires strong attention to detail, effective communication with providers and staff, and diligent follow-up to ensure all enrollment tasks are completed accurately and timely. The Enrollment Specialist maintains comprehensive documentation in the credentialing system and associated tracking tools to support compliance and operational efficiency.

Requirements

  • Highly self-motivated with experience in healthcare provider enrollment, credentialing, or re-credentialing preferred.
  • Strong organizational and time management skills with the ability to prioritize and manage multiple tasks.
  • Proficiency with credentialing systems and Microsoft Office Suite; ability to learn new systems quickly.
  • Excellent written and verbal communication skills with a strong customer service orientation.
  • Proven ability to work independently while maintaining collaboration across teams.
  • Detail-oriented with a commitment to accuracy and compliance.
  • Demonstrates flexibility, professionalism, and sound judgment in all interactions.

Responsibilities

  • Coordinate all managed care credentialing and enrollment activities to ensure timely provider participation status.
  • Prepare and submit credentialing and re-credentialing applications for managed care companies and other relevant agencies.
  • Maintain accurate logs, lists, records, and documentation required for credentialing and re-credentialing processes.
  • Verify provider information and communicate with health plan representatives and internal teams as needed.
  • Conduct consistent follow-up with payers to expedite credentialing outcomes.
  • Prepare and complete applications, link letters, and spreadsheets in accordance with managed care organization specifications.
  • Build and maintain positive relationships with managed care organizations, clients, and internal stakeholders.
  • Ensure compliance with internal standards and payer-specific requirements.
  • Perform additional duties and special projects as assigned.

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What This Job Offers

Job Type

Full-time

Industry

Professional, Scientific, and Technical Services

Number of Employees

5,001-10,000 employees

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