Provider Enrollment Specialist
Location: Remote
Schedule
- Mountain Time: 8:00 AM – 4:00 PM or 9:00 AM – 5:00 PM
- Eastern Time: 9:30 AM – 6:30 PM
Responsibilities
- Prepare and submit enrollment and re-enrollment applications for healthcare providers to Medicare, Medicaid, and commercial insurance plans.
- Maintain accurate and up-to-date provider records in internal databases and payer portals.
- Track application statuses and follow up with payers to ensure timely processing.
- Collaborate with providers and credentialing staff teams to gather required documentation and resolve discrepancies.
- Monitor and manage re-credentialing and revalidation timelines to ensure continuous participation.
- Respond to inquiries from providers and internal departments regarding enrollment status and requirements.
- Assist with audits and reporting related to provider enrollment activities.
Requirements
- 2-4 years of experience in provider enrollment, enrolling providers into commercial payors, and experience working in CAQH.
- High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration or related field preferred.
- Strong understanding of Medicare, Medicaid, and commercial insurance enrollment processes.
- Excellent organizational, communication, and problem-solving skills.
- Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
Skills
- CAQH
- Credentialing
- Provider enrollment
Pay
The pay range for this position is $23.00 - $23.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.
Benefits
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
About the Company
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe, and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. TEKsystems is an Allegis Group company.