Provider Enrollment Specialist

About the role

As a Provider Enrollment Specialist, you will coordinate and manage the enrollment and credentialing process for healthcare providers, ensuring they are properly credentialed, contracted, and able to deliver services to patients. You will collaborate with internal departments, external agencies, and providers to facilitate timely and accurate enrollment.

Responsibilities

• Review and process enrollment applications accurately and efficiently, ensuring all information is complete and meets regulatory requirements
• Verify education, training, licensure, certifications, and other qualifications to ensure providers meet credentialing requirements
• Serve as a primary point of contact for the Provider Relations team regarding enrollment status, application requirements, and related inquiries
• Monitor and track provider enrollment status and deadlines to ensure compliance with regulatory and contractual obligations
• Maintain accurate provider information in databases and enrollment systems, ensuring data integrity and accessibility
• Generate reports on provider enrollment status, trends, and issues for management review and decision-making

Requirements

• 4 or more years of related experience (education may be substituted in lieu of experience)
• Demonstrated experience utilizing strong organizational skills with attention to detail and accuracy
• Demonstrated experience utilizing verbal and written communication skills to inform diverse audiences of an organization
• Demonstrated ability to prioritize workload effectively, manage multiple projects concurrently, and consistently meet established deadlines
• Intermediate proficiency in MS Office Suite
• Ability to work any 8-hour shift, Monday through Friday, 10:00 a.m. to 7:30 p.m. CST

Qualifications

• Detail-oriented and analytical mindset
• Strong problem-solving and decision-making abilities
• Ability to maintain confidentiality and handle sensitive information
• Customer service-oriented with strong interpersonal skills
• Adaptability to changing priorities and requirements

Preferred Qualifications

• Knowledge of healthcare regulations, payer requirements, and managed care principles
• Bachelor’s degree in Healthcare Administration, Business Administration, or a related field
• Previous experience in provider enrollment, credentialing, or healthcare administration
• Experience with enrollment software or databases (e.g., CAQH, NPPES)

Pay

The likely hourly rate for this position is between $20.98 and $24.15. Salary will be set based on experience, geographic location, and possibly contractual requirements and could fall outside of this range.

Schedule

Scheduled weekly hours: 40

Travel required: None

Telecommuting options: Hybrid

Work location: USA, LA, Bossier City

Additional work locations: USA