Provider Enrollment Coordinator

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

📋 Description

• Oversee the comprehensive provider enrollment workflow for physicians, nurse practitioners, and physician assistants joining the medical group.

• Prepare and submit enrollment applications to Medicare, Medicaid, and other relevant payers to secure billing privileges.

• Manage and monitor facility privileging and attestation requirements across skilled nursing and senior living communities.

• Ensure accurate provider data is maintained within internal systems, including NPPES, PECOS, CAQH, and iCIMS/HRIS.

• Collaborate with Credentialing, HR, and Operations teams to synchronize enrollment timelines with provider onboarding and start dates.

• Follow up with payers, facilities, and providers to acquire missing information or resolve discrepancies.

• Track enrollment status and provide progress updates to stakeholders, including Market Operations and Finance teams.

• Process revalidations, address changes, and terminations to uphold active enrollment status for current providers.

• Assist with reporting, audits, and internal reviews related to provider enrollment and compliance.

⛳️ Requirements

• High school diploma or equivalent is required; an associate’s degree is preferred.

• At least 2 years of experience in provider enrollment, credentialing, or healthcare administration (preferably in a medical group or multi-site provider organization).

• Understanding of Medicare/Medicaid enrollment processes and facility privileging is preferred.

• Familiarity with CAQH, NPPES, PECOS, and similar systems is strongly preferred.

• The company is currently unable to offer visa sponsorship (H1B or otherwise).

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance.

• Retirement plan with company match.

• Opportunities for professional development and continuing education.