Enrollment Specialist

Beth Israel Lahey Health

. Complete the government payer enrollment process for all new individual providers and groups/locations within established timeframes .

Posted 9/21/2026full-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 are essential for collaboration with multi-disciplinary teams and ensuring compliance with enrollment requirements.

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 ManagementRe-VerificationProvider Data Updates

Soft Skills

Professional CommunicationCollaboration

Tools & Technologies

Internal DatabasesExternal Databases

Certifications & Qualifications

CPCS CertificationPESC Certification

Industry Keywords

MedicareMedicaidNon-Commercial PayerProvider EnrollmentTIN Management

About the role

Key responsibilities & impact

Complete the government payer enrollment process for all new individual providers and groups/locations within established timeframes
Obtain information needed for government payer applications from individual providers and existing Medical Staff Administration and/or network development records
Complete maintenance updates and re-verification/re-validation for individual providers and groups/locations
Maintain and update provider and group/location data, including name changes, office locations, demographics, new groups, and TINs
Populate and update internal and external databases reflecting non-commercial payer participation and related data
Submit enrollment applications to appropriate state Medicare/Medicaid programs before Credentials Committee meetings or applicant approvals
Submit enrollment applications to appropriate state Medicare/Medicaid programs before opening or acquiring groups/locations
Collaborate with the multi-disciplinary onboarding group and practitioners to complete application processes
Ensure continuous, uninterrupted participation status and provider ability to order, refer, and prescribe

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
Equal Opportunity Employer/Veterans/Disabled