Provider Enrollment Specialist

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

📋 Description

• Oversee the provider enrollment process with various insurance payers.

• Review daily email communications regarding application approvals, inquiries, and status updates.

• Monitor and update enrollment statuses utilizing spreadsheets and internal systems.

• Submit requests and execute enrollment-related actions once provider authorization is secured.

• Reach out to providers to gather any missing information or necessary documentation.

• Follow up on submitted applications approximately every 15 days.

• Maintain precise records and documentation of enrollment activities.

• Manage a high volume of requests, typically ranging from 20 to 70 per day.

• Utilize templated email responses while upholding professional communication standards.

• Adhere to established outreach and follow-up protocols.

• Ensure requests are appropriate and complete prior to processing.

• Provide assistance with both standard enrollments and more intricate new provider enrollment cases.

⛳️ Requirements

• High school diploma or its equivalent.

• 1-2 years of experience in provider enrollment, credentialing, or healthcare administration.

• Strong organizational, communication, and problem-solving abilities.

• Capability to juggle multiple tasks and meet deadlines in a fast-paced environment.

• A customer service-focused mindset.

• Proficient in working with spreadsheets, email, and internal systems.

• Understanding of payer enrollment processes, including both government and commercial plans.

• Familiarity with CAQH.

• Experience in supporting provider enrollment or credentialing workflows.

🏝️ Benefits

• Medical, dental & vision coverage.

• Critical Illness, Accident, and Hospital insurance.

• 401(k) Retirement Plan with options for pre-tax and Roth post-tax contributions.

• Life Insurance options (Voluntary Life & AD&D for both employee and dependents).

• Short-term and long-term disability coverage.

• Health Spending Account (HSA).

• Transportation benefits.

• Employee Assistance Program.

• Time Off/Leave benefits (PTO, Vacation, or Sick Leave).