Enrollment Specialist

Beth Israel Lahey Health

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

Posted 9/19/2026full-timeRemote • 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 submission, maintenance, and re-verification. Proficient in managing provider data and collaborating with multidisciplinary teams to ensure compliance with state and federal enrollment obligations.

Highest-signal resume keywords

Government Payer EnrollmentProvider Enrollment Technical ProficiencyCPCS CertificationEffective Communication SkillsNon-Commercial Payer Enrollment Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Government Payer EnrollmentProvider EnrollmentData MaintenanceRe-Verification ProcessesApplication SubmissionDatabase ManagementDemographic Data ManagementTIN ChangesState Medicare/Medicaid ProgramsOnboarding Collaboration

Soft Skills

Effective CommunicationProfessionalism

Certifications & Qualifications

CPCS CertificationPESC Certification

Industry Keywords

Non-Commercial Payer EnrollmentState and Federal Enrollment ObligationsProvider Data ManagementEnrollment ApplicationsCredentials Committee

About the role

Key responsibilities & impact

Complete the government payer enrollment process for new individual providers and groups/locations
Obtain information needed for government payer applications from providers and existing organizational records
Complete maintenance updates and re-verification/re-validation for providers and groups/locations
Maintain provider and group/location data, including name, office location, demographic, group, and TIN changes
Populate and update internal and external databases reflecting government payer participation and related data
Submit enrollment applications to appropriate state Medicare/Medicaid programs before Credentials Committee meetings or applicant approvals
Submit enrollment applications before opening or acquiring groups/locations
Collaborate with the multidisciplinary 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
Ability to complete government payer enrollment, maintenance, and re-verification processes within established timeframes
Knowledge of non-commercial payer enrollment obligations at the State and Federal level

Benefits

Comp & perks

Influenza vaccination required as a condition of employment
Additional pay may include shift differentials, call pay, premium pay, and overtime pay, as applicable
Hybrid/remote schedule