Provider Enrollment Specialist

About This Opportunity

We are representing a confidential healthcare services organization that specializes in revenue cycle management for medical providers. Our client is seeking a Provider Enrollment Specialist to manage payer enrollment activities for their provider clients across the country. This is a fully remote position where you will ensure healthcare providers and practices maintain proper enrollment with Medicare, Medicaid, and commercial insurance plans.

Responsibilities

• Prepare and submit provider enrollment applications to Medicare, Medicaid, and commercial insurance payers
• Gather and review provider information and supporting documentation required for enrollment processes
• Track enrollment applications, payer requests, approvals, and effective dates throughout the enrollment lifecycle
• Follow up with payers and enrollment organizations on pending or delayed applications
• Research and resolve enrollment discrepancies, rejections, and missing information
• Maintain accurate provider and payer enrollment records in internal systems and online portals
• Process updates to provider information, including practice locations, specialties, and affiliations
• Coordinate enrollment-related information with credentialing, billing, and client-facing teams
• Monitor enrollment deadlines and support timely revalidation, renewals, and payer updates

What We're Looking For

Required:

• 1+ years of experience in provider enrollment, payer enrollment, credentialing, medical billing, or related healthcare administrative role
• Understanding of Medicare, Medicaid, and commercial payer enrollment processes
• Experience preparing and submitting enrollment applications and supporting documentation
• Familiarity with payer portals and online provider enrollment systems
• Strong attention to detail and ability to manage multiple applications and deadlines simultaneously
• Excellent organizational and follow-up skills
• Ability to research enrollment issues and communicate effectively with payers and provider teams
• Ability to work independently and effectively in a fully remote environment
• HIPAA-compliant private workspace for remote work

Preferred:

• Experience with CAQH
• Knowledge of NPI, taxonomy codes, PECOS, and other provider enrollment requirements
• Experience with Medicare and Medicaid revalidation processes
• Experience working with multiple commercial payers
• Experience with hospital or multi-specialty provider enrollment
• Familiarity with healthcare systems such as Epic, Athena, or eClinicalWorks

How We Work With You

Candidates apply directly through Get A Job.ai. Our talent team will conduct an initial screening to understand your background and interest in the role. Qualified candidates will be submitted to our client for consideration. If selected, you will participate in interviews with the hiring manager. Please do not contact the client organization directly, as all communication is managed through our recruiting team.

Pay

Compensation will be discussed during the interview process and will be based on your experience, qualifications, and relevant healthcare administration expertise. Benefits and employment details will also be covered during the hiring process.

Equal Employment Opportunity: Get A Job.ai is an equal opportunity employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.