Provider Enrollment Specialist

About the Role

MOGEL, on behalf of a growing healthcare organization, is seeking a Provider Enrollment Specialist to join its Revenue Cycle Management team. This role is responsible for managing the enrollment and maintenance of healthcare providers with Medicare, Medicaid, and commercial insurance payers, ensuring timely credentialing and accurate provider data to support uninterrupted claims processing and reimbursement. The ideal candidate is highly organized, detail-oriented, and experienced in navigating payer enrollment requirements. You'll work collaboratively with internal teams and external payer organizations to ensure providers remain compliant and credentialed while delivering exceptional service throughout the enrollment lifecycle.

Key Responsibilities

• Manage the end-to-end provider enrollment process for Medicare, Medicaid, and commercial insurance payers
• Prepare, submit, and track enrollment applications, ensuring accuracy and timely completion
• Coordinate provider credentialing and recredentialing by gathering and maintaining required documentation
• Maintain accurate provider records and enrollment data within internal systems
• Serve as the primary point of contact between providers and insurance payers to resolve enrollment issues and expedite approvals
• Monitor enrollment and credentialing statuses, following up proactively to minimize delays
• Ensure compliance with federal, state, and payer-specific enrollment requirements
• Partner with Revenue Cycle, Billing, and Operations teams to support timely claims processing and reimbursement
• Generate reports and provide regular updates on enrollment activities, outstanding applications, and key performance metrics
• Identify opportunities to improve enrollment workflows and enhance operational efficiency

Qualifications

• High school diploma or equivalent required; Associate's degree in Healthcare Administration, Business, or a related field preferred
• 2+ years of experience in provider enrollment, credentialing, or healthcare revenue cycle management
• Strong knowledge of Medicare, Medicaid, and commercial payer enrollment processes
• Experience working with provider enrollment and credentialing platforms
• Proficiency with Microsoft Office Suite, including Excel and Word
• Excellent organizational skills with the ability to manage multiple priorities and meet deadlines
• Strong attention to detail and commitment to accuracy
• Excellent written and verbal communication skills
• Ability to work independently while collaborating effectively with cross-functional teams

Preferred Qualifications

• Experience supporting post-acute care providers or multi-specialty healthcare organizations
• Knowledge of payer credentialing regulations and reimbursement requirements
• Experience with provider data management and enrollment tracking systems

What We're Looking For

• A proactive professional who takes ownership of the provider enrollment process from start to finish
• Strong problem-solving skills with the ability to resolve payer issues efficiently
• A collaborative team player who builds positive relationships with providers and internal stakeholders
• Someone who thrives in a fast-paced, deadline-driven environment while maintaining exceptional accuracy
• A customer-focused professional committed to delivering a seamless provider experience

Pay

$26-$30 per hour (depending on experience)

Benefits

• Fully remote opportunity within the U.S.
• Join a collaborative and growing Revenue Cycle Management team
• Opportunity to make a direct impact on provider onboarding and revenue cycle performance
• Competitive compensation and comprehensive benefits
• Professional growth and career development opportunities