Enrollment Specialist

Beth Israel Lahey Health

. Complete government payer enrollment processes for new individual providers and groups/locations .

Posted 9/19/2026full-timeWakefield • Massachusetts • United StatesJuniorMid-Level💰 $21 - $33 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in government payer enrollment processes, including application submissions and data maintenance for providers and groups. Strong communication skills and technical proficiency in provider enrollment are essential for effective collaboration with multi-disciplinary teams.

Highest-signal resume keywords

Government Payer EnrollmentProvider Enrollment Technical ProficiencyCPCS CertificationEffective Communication SkillsData Maintenance and Updates

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payer EnrollmentApplication SubmissionData MaintenanceRe-VerificationDatabase Management

Soft Skills

Professional CommunicationCollaboration

Certifications & Qualifications

CPCS CertificationPESC Certification

Industry Keywords

MedicareMedicaidProvider DataTIN ChangesOnboarding

About the role

Key responsibilities & impact

Complete government payer enrollment processes for new individual providers and groups/locations
Obtain information from providers and leverage information from Medical Staff Administration and network development staff
Complete maintenance updates and re-verification/re-validation for providers and groups/locations
Maintain and update provider and group/location data, including name, office location, demographic, group, and TIN changes
Populate and update internal and external databases with government payer participation data
Submit enrollment applications to state Medicare/Medicaid programs before Credentials Committee meetings or applicant approvals
Submit enrollment applications to state Medicare/Medicaid programs before opening or acquiring groups/locations
Collaborate with the multi-disciplinary onboarding group and practitioners to complete application processes

Requirements

What you’ll need

Bachelor's Degree or equivalent education and experience
Minimum of 2-3 years experience in non-commercial payer enrollment
Provider enrollment technical proficiency
Effective and professional communication skills
CPCS or PESC Certification preferred but not required
Must be vaccinated against influenza (flu) as a condition of employment

Benefits

Comp & perks

Influenza vaccination required as a condition of employment
Potential additional pay through shift differentials, call pay, premium pay, and overtime pay, as applicable