RCM Provider Enrollment Specialist

ModMed•Brick, NJ

1d•Hybrid

About The Position

At ModMed, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: we hired doctors and taught them how to code. This "for doctors, by doctors" philosophy has allowed us to create an AI-enabled, specialty-specific cloud platform that places patients at the center of care. When you join ModMed, you’re joining an award-winning team recognized for innovation and employee satisfaction. From our global headquarters in Boca Raton Florida, and extensive employee base in Hyderabad India, we are a team of 4,500+ passionate problem-solvers on a mission to increase medical practice success and improve patient outcomes: Consistently ranked as a Top Place to Work 2025 Globee Business Awards: Gold Globee for “Technology Team of the Year” 2025 Black Book Awards: Ranked #1 EHR in 11 Specialties Florida Venture Forum: Venture-Backed Company of the Year We are growing fast, thinking big, and we are just getting started. Ready to modernize medicine with us? ModMed is seeking an RCM Provider Enrollment Specialist who is responsible for managing the provider enrollment and revalidation processes for various payers, ensuring timely and accurate submission of applications to facilitate efficient revenue cycle management for Modernizing Medicine's clients.

Requirements

High School Diploma or equivalent required; Associate's or Bachelor's degree preferred.
2+ years of experience in provider enrollment or medical credentialing within a healthcare setting.
Strong understanding of payer enrollment processes, including CAQH, PECOS, and various commercial and governmental payer requirements.
Excellent organizational skills and attention to detail.
Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
Strong written and verbal communication skills.

Nice To Haves

Experience with medical billing software and practice management systems is a plus.

Responsibilities

Prepare, submit, and track initial provider enrollment applications (CAQH, PECOS, state Medicaid, commercial payers, etc.) for new providers and revalidations for existing providers.
Monitor and follow up on enrollment applications to ensure timely approval and completion of credentialing.
Maintain accurate and up-to-date provider enrollment data in internal systems and external payer portals.
Research and resolve enrollment-related issues, denials, and discrepancies.
Communicate effectively with providers, practice managers, and internal teams regarding enrollment status and requirements.
Stay informed of changes in payer enrollment policies, regulations, and requirements.
Assist with the development and implementation of process improvements for provider enrollment workflows.
Perform other duties as assigned to support the RCM department.

Benefits

United States Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution
401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
Generous Paid Time Off and Paid Parental Leave programs
Company paid Life and Disability benefits
Flexible Spending Account, and Employee Assistance Programs
Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed
Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning
Global presence and in-person collaboration opportunities; dog-friendly HQ (US)
Hybrid office-based roles and remote availability for some roles
Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.