Enrollment Specialist (Healthcare)

Provider Enrollment Specialist

Join a Mission-Driven Healthcare Organization “in office role/onsite” in Irving Texas!

$50K ($23-25.00 per hour)

Global Healthcare organization seeking a detail-oriented Provider Enrollment Specialist to join our team. This role is ideal for candidates with experience in provider enrollment, credentialing, medical billing, healthcare administration, or payer relations who enjoy working in a collaborative environment and making an impact on patient care operations.

As a Provider Enrollment Specialist, you will play a critical role in ensuring providers are properly enrolled with Medicare, Medicaid, and managed care plans while supporting billing operations and maximizing reimbursement.

Qualifications

1-3 years of Provider Enrollment, Payer Enrollment, Credentialing, Medical Billing, or related healthcare administration experience

Strong knowledge of Medicare and Medicaid enrollment processes

Proficiency with Microsoft Word, Excel, and Access

Excellent written and verbal communication skills

Strong organizational, analytical, and problem-solving abilities

Ability to work effectively with providers, payers, clinic personnel, and leadership teams

What You'll Do

Coordinate Medicare and Medicaid provider enrollment and re-enrollment

Prepare, submit, and track enrollment applications and provider updates

Maintain provider records, NPI files, and payer information

Follow up with insurance carriers regarding enrollment status and claim issues

Assist with managed care credentialing and contracting processes

Monitor outstanding claims and identify reimbursement issues

Generate reports and communicate findings to appropriate stakeholders

Act as a billing system resource and support clinic staff with system questions

Review Athena correspondence and unresolved billing issues

Educate and support staff regarding enrollment and billing processes

Ensure HIPAA compliance and maintain strict confidentiality

• Stable and respected healthcare organization
• Collaborative and mission-focused culture
• Opportunities for professional growth and development
• Comprehensive benefits package

Interested? Apply now or send your resume directly to ***email_hidden*** to learn more!

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