Enrollment Specialist

This is a fully remote position, open to applicants in Massachusetts.

📋 Description

• Facilitate the enrollment process for new individual providers and groups/locations with government payers.

• Gather necessary information for government payer applications from providers and existing organizational records.

• Execute maintenance updates and re-verification/re-validation for providers and groups/locations.

• Manage provider and group/location data, including updates to names, office locations, demographics, groups, and TIN changes.

• Populate and refresh internal and external databases to reflect government payer participation and related information.

• Submit enrollment applications to the relevant state Medicare/Medicaid programs prior to Credentials Committee meetings or applicant approvals.

• Ensure submission of enrollment applications ahead of opening or acquiring groups/locations.

• Work collaboratively with the multidisciplinary onboarding team and practitioners to finalize application processes.

⛳️ Requirements

• Bachelor’s Degree or equivalent education and experience.

• At least 2-3 years of experience in non-commercial payer enrollment.

• Technical proficiency in provider enrollment.

• Strong and professional communication abilities.

• CPCS or PESC Certification is preferred but not mandatory.

• Capability to complete government payer enrollment, maintenance, and re-verification processes within designated timeframes.

• Understanding of non-commercial payer enrollment requirements at both the State and Federal levels.

🏝️ Benefits

• Influenza vaccination is mandatory as a condition of employment.

• Additional compensation may include shift differentials, call pay, premium pay, and overtime pay, as applicable.

• Hybrid/remote work schedule.