Enrollment Specialist - Remote

Overview

The Enrollment Specialist is responsible for managing all aspects of provider enrollment process to ensure timely and accurate enrollment with Medicaid, Medicare, and commercial insurance payers across all applicable locations.

In Short

• Prepare and submit provider enrollment applications for Medicare, Medicaid, and commercial payers.
• Monitor application status and provide updates on pending submissions.
• Manage re-credentialing and revalidation processes.
• Serve as the point of contact between payors and the company.
• Investigate and resolve enrollment-related issues.
• Maintain accurate credentialing files and documentation.
• Ensure timely updates to payer portals and internal systems.
• Support audits and payer communications.
• Generate and distribute enrollment status reports.
• Collaborate with cross-functional teams for seamless onboarding.

Requirements

• Bachelor’s degree in Business or Healthcare Administration.
• Prior experience in a healthcare setting.
• Familiarity with enrollment systems and workflows.
• Strong communication skills.
• Highly organized with the ability to manage multiple priorities.
• Detail-oriented and self-motivated.
• Strong computer aptitude in Microsoft Excel and Word.
• Sound judgment and professionalism in handling sensitive information.

Benefits

• Potential for hybrid work arrangement.
• Professional development opportunities.
• Supportive work environment.
• Collaboration with cross-functional teams.