Provider Enrollment Analyst

Job Description

Flybridge Staffing is currently seeking a Provider Enrollment/Credentialing Analyst to join a growing client in the Boca Raton area. This is a long-term contract (with potential to convert) that will move to a hybrid schedule after 90 days.

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This role requires a deep understanding of credentialing & contracting procedures and the ability to provide accurate guidance and support to affiliated physicians, physician staff, and internal teams. This person is a liaison between insurance carriers, commercial and federal clearinghouses, federal regulatory credentialing, as well as state, county, and federal licensing on behalf of affiliated physicians for insurance credentialing/re-credentialing.

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Responsibilities

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• Manages non-standard provider enrollment workflows, interpreting payer-specific contract requirements and independently navigating complex scenarios that fall outside templated enrollment processes.
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• Coordinate all aspects of the provider enrollment process while delivering top-quality customer service and proactively educating physicians on timelines, managing expectations, and maintaining strong partnerships as operational challenges arise.
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• Enter all pertinent data from applications into the credentialing system and run daily/weekly reports, etc.
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• Serve as the primary liaison and subject‑matter expert for provider enrollment, collaborating across physicians, internal stakeholders, and external partners to drive alignment, quality, operational readiness, and a consistently high standard of service across credentialing and contracting workflows.
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• Complete statewide credentialing applications to establish new groups and add providers to commercial payers and Medicare
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• Maintain provider enrollment system processes, policies, and procedures, and ensure adherence to all requirements.
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• Identifying pertinent credentialing matters and provide analysis and resolution to management weekly.
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• Establishes and communicates timelines with corporate affiliates or practices to ensure that schedules are met.
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• Prepares, reviews, and sends status reports on an as-needed basis to affiliated physicians and stakeholders. Follows up to ensure closure on outstanding cases.
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• Helps assess all provider enrollment materials and reports and coordinate with outside staff to verify all outside processes are completed.
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• Conducts detailed analysis and reconciliation of provider enrollment data to support accurate contracting, payer submissions, and ongoing network compliance, while managing complex, non-standard enrollment scenarios.
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Qualifications

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• Associate degree and at least two years related business experience; or equivalent
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• Certified Provider Credentialing Specialist (CPCS) or Certified Provider Enrollment Specialist (CPES) is highly desired.
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• Experience with coordination or management of credentialing/re-credentialing processes for primary care physicians is highly desired.
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• Experience or knowledge of CAQH, PECOS & NPPES applications.
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• Familiarity with EMR and/or credentialing software experience required.
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• Net Docs, credentialing software, Athena, and Salesforce or other CRM experience preferred.
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If your background aligns with the above details and you would like to learn more, please send your resume to View email address on ziprecruiter.com or on our website, and one of our recruiters will be in touch with you ASAP.

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