Provider Enrollment Specialist

Bridgeview Eye Partners•Wabash, IN

8d•Hybrid

About The Position

Bridgeview Eye Partners is seeking a detail-oriented and highly organized Provider Enrollment Specialist to join our Credentialing team. In this role, you’ll play an important part in ensuring our providers and facilities are successfully enrolled with government, managed care, and commercial payers so our patients can continue to receive exceptional eye care without interruption. If you enjoy managing details, solving problems, working across departments, and keeping complex processes moving forward, this could be a great opportunity for you.

Requirements

High school diploma or equivalent.
At least 3 years of healthcare experience in payer relations, market access, managed care, provider enrollment, credentialing, or a related field.
Strong organizational skills and exceptional attention to detail.
Proficiency with Microsoft Office, including Outlook, Teams, Word, and Excel.
Ability to manage multiple priorities, meet deadlines, and maintain accuracy in a highly detail-oriented environment.
Strong communication and customer service skills.
Demonstrated accountability, professionalism, and integrity.

Nice To Haves

Bachelor’s degree in Business, Healthcare Administration, or a related field.
Experience with MedTrainer Credentialing software.
Knowledge of managed care contracts and payer requirements.

Responsibilities

Manage provider and facility payer enrollment applications from preparation through completion, ensuring accuracy and timely submission.
Collect, review, and verify documentation required for provider and facility enrollments.
Complete payer enrollment, hospital credentialing, professional licensure, and related applications in accordance with payer requirements and government regulations.
Maintain accurate information across credentialing and enrollment databases and payer portals, including Availity, CAQH, NaviNet, NPPES, and PECOS.
Monitor pending applications, identify deficiencies, and work proactively to resolve issues and keep enrollments on track.
Research and resolve provider and facility enrollment issues by partnering with internal teams and external payer contacts.
Monitor revalidations, license renewals, and other required updates to ensure providers remain compliant and enrolled.
Support the Credentialing Manager with new facilities, locations, and providers as Bridgeview Eye Partners continues to expand into new markets.
Escalate complex or unresolved credentialing and enrollment issues appropriately.
Provide responsive, professional support to internal stakeholders throughout the enrollment process.