About The Position

You will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. This role is a full-time remote position. The Provider Enrollment Specialist supports the payor relations and provider enrollment function by completing and tracking provider enrollments, maintaining accurate provider data, and assisting with payor-related administrative workflows. This is an ideal role for someone looking to build a career in healthcare operations, managed care, or credentialing.

Requirements

  • High school diploma or equivalent; associate or bachelor’s degree preferred
  • Strong attention to detail and organizational skills
  • Ability to manage multiple tasks and deadlines
  • Comfortable working independently in a remote environment
  • Strong written and verbal communication skills

Nice To Haves

  • Exposure to healthcare operations, provider enrollment, billing, or managed care
  • Familiarity with payor portals and enrollment applications
  • Experience working with provider data or healthcare documentation

Responsibilities

  • Prepare, submit, and track provider enrollment applications with commercial, fertility, and IPA payors
  • Maintain provider demographic and enrollment data across payor portals and internal systems
  • Monitor enrollment status and follow up on outstanding applications as needed
  • Support revalidation and re-credentialing activities
  • Collect, organize, and maintain required provider documentation (licenses, malpractice, certifications, etc.)
  • Ensure accuracy and completeness of provider records
  • Identify and escalate missing or inconsistent information
  • Communicate with payors, vendors, and internal stakeholders regarding enrollment status
  • Respond to routine payor inquiries and requests for additional information
  • Partner with credentialing and contracting teams to support onboarding timelines
  • Assist with the preparation, submission, and tracking of hospital privilege applications to ensure providers meet facility requirements.
  • Perform other administrative and operational tasks related to credentialing and enrollment as assigned
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