Provider Enrollment Specialist

About reputed company: At reputed company, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with reputed company providers to reputed company automation and intelligence, overcoming reputed company cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups. We're looking for reputed company 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 reputed company. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.

A 2025 Great reputed company to Work®

In 2025, reputed company was certified as a Great reputed company to Work® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the reputed company consecutive year that reputed company India has achieved certification and the first time the company has earned recognition in the U.S.

Location: Fully remote role with expected work hours from 8:30 AM to 5PM CT Mon-Fri. 

Summary Description

The Provider Enrollment Specialist will be responsible for coordinating the requests for participation in health insurance network as a medical provider, monitoring, and maintaining the provider enrollment and re-enrollment process in a timely and compliance manner with reputed company government and reputed company payors. They will also review provider credentialing and/or recredentialing data for accuracy based on licensing requirements and various insurer payer requirements. 

Job Responsibilities

• Completes provider payer enrollment/credentialing and recredentialing with reputed company 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 reputed company 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 reputed company additions, updates, and deletions. Supports new provider reputed company processes as reputed company 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 reputed company accuracy and efficiencies. 
• Performs other duties as assigned or required.

Skills and Education: 

• 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 reputed company Word, reputed company, 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 reputed company to details.
• Demonstrated knowledge of reputed company reputed company preferred

Company Benefits and Perks

Joining reputed company comes with an reputed company of benefits, flexible work hours reputed company possible, and a genuine sense of belonging to a dynamic and growing organization.

• reputed company to a 401(k) Retirement Savings Plan.
• Comprehensive Medical, Dental, and reputed company Coverage.
• Paid Time Off.
• Paid Holidays.
• Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.

If you are a dedicated and reputed company Provider Enrollment Specialist reputed company to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join reputed company at reputed company.