Managed Care Provider Enrollment Specialist - Administrative Experience Required

Job Description:Job Title: Managed Care Enrollment Specialist ILocation: Remote / Work from HomeDepartment: Managed CareEmployment Type: Full-TimePay Range: $17.93-$26.01 per hour, based on relevant experience and work locationQualification Overview:Required: Professional experience in an administrative, office, data-management, insurance, billing, claims, healthcare, financial, or similarly detail-focused business environmentStrongly Preferred: Healthcare revenue cycle experience, including patient billing, insurance claims, collections, or reimbursementPreferred: Provider enrollment, payer enrollment, managed care, or credentialing experienceJoin a Recognized Top WorkplaceCenterstone is a nationally recognized behavioral health organization and has been named a Top Workplace in consecutive years, including 2025 and 2026. Top Workplaces recognition is based entirely on confidential employee feedback and reflects the workplace culture, engagement, and employee experience created by the people who work here.Learn more about working at CenterstoneJob Summary:Bring your professional administrative experience, attention to detail, and ability to manage complex information to a remote role that helps healthcare providers remain enrolled and ready to deliver care. As a Managed Care Enrollment Specialist I, you’ll complete provider enrollment and revalidation applications, maintain accurate payer records, monitor deadlines, and help resolve issues that could affect reimbursement or access to healthcare services.This position is designed for candidates with professional experience managing detailed records, applications, data, reports, or deadline-driven administrative processes. Healthcare revenue cycle experience, such as patient billing, insurance claims, collections, or reimbursement, is strongly preferred. Candidates with relevant professional administrative experience and the ability to learn managed care processes may also be considered.This position offers…All-Inclusive Employee Benefits Package - A robust full-time employee benefits package encompassing health, dental, vision, retirement, disability, life insurance, wellness program, generous paid time off, and moreTelemedicine – 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visitsEmployee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no costCareer Advancement & Wage Growth - Grow in your career with great opportunities for upward mobility and added incomeComprehensive Training - Learn and develop skills with our robust on-the-job trainingWorkplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting healthy, joyful workforce engagementRemote Work Opportunity - Enjoy the flexibility and comfort of working from homeKey Responsibilities:Complete initial provider enrollment, payer enrollment, and revalidation applications accurately and within required deadlinesMaintain complete provider records, credentials, practice locations, services, payer data, and application statusesCoordinate with providers and internal teams to obtain required documentation, verify information, resolve discrepancies, and communicate updatesMonitor enrollment applications and outstanding items to support timely payer approval and minimize reimbursement delaysAudit payer records and provider data to identify errors, maintain compliance, and protect data integrityPrepare managed care reports, tracking tools, enrollment documentation, and status updates using Microsoft Excel and other business systemsServe as a liaison for external privileging, payer requests, and contractual enrollment requirementsResearch payer policies, enrollment requirements, and industry updates and translate findings into clear next stepsCollaborate with Managed Care, Credentialing, Revenue Cycle, Operations, and other teams to improve provider enrollment processesEducation, Experience, and/or Credential Qualifications:RequiredHigh school diploma, GED, or equivalentProfessional experience in an administrative, office, data-management, insurance, billing, claims, healthcare, financial-services, or similarly detail-focused business environmentExperience maintaining accurate records, processing detailed information, and meeting established deadlinesProfessional experience using Microsoft Office applications, including Microsoft ExcelAbility to work independently in a remote environment with reliable organization, time management, and follow-throughPreferredHealthcare revenue cycle experience, including patient billing, insurance claims, collections, payment processing, reimbursement, or related payer functionsExperience with provider enrollment, payer enrollment, managed care, provider credentialing, privileging, or revalidationExperience communicating with commercial insurance carriers, Medicaid, Medicare, managed care organizations, or other healthcare payersAdvanced Microsoft Excel experience, including sorting, filtering, formulas, data validation, and tracking large amounts of informationExperience working remotely in healthcare administration, revenue cycle, insurance, credentialing, or provider supportAdditional Qualifications:Exceptional organization, accuracy, follow-through, and attention to detailStrong written and verbal communication and customer-service skillsAbility to research payer policies and convert complex requirements into actionable stepsAbility to manage multiple applications, projects, deadlines, and stakeholder requests simultaneouslyStrong analytical, auditing, problem-solving, and process-improvement skillsAbility to protect confidential provider, organizational, and healthcare informationReliable professional workspace and ability to collaborate effectively in a remote work environmentPhysical Requirements:Perform primarily sedentary work in a remote environment involving extended periods of sitting and computer useFrequently use hands, fingers, and arms for typing, data entry, reporting, and electronic communicationOccasionally stand, walk, or move materials weighing up to 10 poundsPerform the essential functions of the position with or without reasonable accommodationHelp Keep Providers Connected to CareAccurate provider enrollment supports timely reimbursement, compliant operations, and continued access to healthcare services. If you have professional administrative experience, strong Microsoft Excel skills, and the attention to detail needed to manage complex payer information, we encourage you to apply and grow your healthcare career with our remote Managed Care team.Position Perks & Benefits:Paid time off: full-time employees receive an attractive time off package to balance your work and personal lifeEmployee benefits package: full-time employees receive health, dental, vision, retirement, life, & moreTop-notch training: initial, ongoing, comprehensive, and supportiveCareer mobility: advancement opportunities/promoting from withinWelcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happinessBrightli is on a Mission:A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.We are an Equal Employment Opportunity Employer.Brightli is a Smoke and Tobacco Free Workplace. #J-18808-Ljbffr