Provider Enrollment Specialist

Infinx

19h•Remote

About The Position

At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups. We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard. A 2025 Great Place to Work® In 2025, Infinx was certified as a Great Place to Work® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.

Requirements

High School Diploma or equivalent
3 years of experience in a physician medical practice with a basic understanding of various payer billing requirements and claims processing or experience with payer credentialing/enrollment requirements
Experience with provider enrollment auditing and quality assurance
Proficiency in Microsoft Word, Excel, Outlook, PDF Software and other management tools.
Motivated to quickly learn and demonstrate strong problem-solving skills.
Strong project management and multitasking skills.
Excellent interpersonal and communication skills.
Strong writing skills and attention to detail.
Strong organizational skills and ability to be attentive to details.

Nice To Haves

Demonstrated knowledge of healthcare contracts preferred

Responsibilities

Completes provider payer enrollment/credentialing and recredentialing with all identified payers in a timely manner.
Resolves enrollment issues through collaboration with physicians, non-physicians, office staff, management, contracting, insurers, and others as identified. Maintains positive working relationships with providers.
Plays an active role in explaining providers and practice/office managers of the submission requirements for credentialing/recredentialing processes, stressing the importance of compliance with these processes.
Obtains updated provider information from various sources including provider offices, state licensing boards, malpractice insurance companies, residency training programs, etc.
Identifies and resolves problems with primary source verification elements by interpreting, analyzing, and researching data.
Proactively obtains updated provider credentialing data prior to expiration. Creates, develops, and maintains applicable matrices and/or utilizes departmental software that supports the enrollment functions. Completes all additions, updates, and deletions. Supports new provider onboarding processes as related to enrollment.
Communicates updated payer enrollment information including payer provider numbers to practice operations in a timely manner while fostering working relationships and teamwork with departments, vendors, etc.
Develops databases and spreadsheets for tracking organization providers. Ensures data is accessible/transparent for executive inquiries or other information as deemed necessary by management.
Continuously searches for process improvements to achieve accuracy and efficiencies.
Performs other duties as assigned or required.