Provider Enrollment Specialist

Bridgeview Eye Partners • Wabash, IN

5h • Remote

About The Position

The Provider Enrollment Specialist is responsible for the timely and accurate completion of all payer enrollment applications across Bridgeview Eye Partners’ service lines. This includes government, managed care, and commercial payers. Key duties involve preparing applications, coordinating with operations team to obtain required provider information, and routinely monitoring pending submissions to ensure deficiencies are resolved promptly. This position is eligible for remote work. WHAT WE OFFER: Competitive hourly wage based upon experience 6.5 paid holidays + 2 Floating Holidays Approximately 10 days of PTO within first year Full slate of benefits, including health, dental, vision, and 401(k)

Requirements

• High School Diploma or equivalent required.
• 3+ years of experience in payer relations, market access, and/or managed care within the healthcare industry required.
• Demonstrated proficiency with Microsoft Office applications, including Outlook, Teams, Word, and Excel
• Strong Organizational Skills
• Customer Service Skills
• Accountability
• Cross-Functional Collaboration
• Managed Care Contract Knowledge
• Professional Integrity

Nice To Haves

• Bachelor’s degree in Business, Healthcare Administration or related degree preferred
• Experience with MedTrainer Credentialing software preferred

Responsibilities

• Collect and verify all documentation required for provider and facility payer enrollments
• Complete provider enrollment, hospital credentialing, and professional licensure applications accurately and within required timeframes while maintaining high ethical standards
• Submit payer applications in accordance with government regulations and payer specific requirements
• Maintain credentialing and enrollment processes, databases, and payer portals with a high level of accuracy, including Availity, CAQH, NaviNet, NPPES, and PECOS
• Research and resolve provider and facility enrollment issues, collaborating with internal departments as needed
• Monitor providers for timely completion of revalidations, license renewals, and other required updates
• Support the Credentialing Manager and key stakeholders with new facilities, including enrollment of new locations and providers in expanding markets
• Escalate unresolved credentialing issues or enrollment deficiencies to the Credentialing Manager when appropriate
• Perform other duties as assigned

Benefits

• Competitive hourly wage based upon experience
• 6.5 paid holidays + 2 Floating Holidays
• Approximately 10 days of PTO within first year
• Full slate of benefits, including health, dental, vision, and 401(k)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED