Senior Enrollment Specialist

Beth Israel Lahey Health

. Complete enrollment and health plan recredentialing applications under the direction of the Manager, Provider Enrollment .

Posted 9/19/2026full-timeRemote • Massachusetts • United StatesSenior💰 $25 - $38 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Provider Enrollment and Credentialing processes, with strong capabilities in data management and communication. Proficient in Microsoft applications and able to analyze complex information while providing high-level customer service.

Highest-signal resume keywords

Provider Enrollment ExperienceHealth Plan Credentialing KnowledgeAdvanced Microsoft Applications SkillsDatabase ManagementCustomer Service

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider EnrollmentCredentialingRecredentialingData AnalysisDocument Production

Soft Skills

Problem SolvingCommunicationCollaborationDecision MakingCustomer Service

Tools & Technologies

Microsoft OutlookMicrosoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft Access

Industry Keywords

MedicareMedicaidHealth PlanLicensure RequirementsMedical Boards

About the role

Key responsibilities & impact

Complete enrollment and health plan recredentialing applications under the direction of the Manager, Provider Enrollment
Maintain the physician database and serve as a resource to providers, practice staff, BIDCO staff, and health plan representatives
Facilitate timely enrollment of new providers and existing providers in newly contracted health plans
Compile confidential data and accurate health plan application packets
Review returned applications for accuracy and completeness before submission
Perform provider recredentialing every two years and track applications through completion
Input and maintain enrollment information and ongoing changes in the provider database
Communicate with health plans, clinicians, and practice staff regarding provider participation and status
Develop reporting mechanisms to keep providers and administrators informed of health plan status
Investigate and resolve enrollment problems affecting billing and reimbursement
Assist with applications for new group entities joining BIDCO and coordinate required documentation
Coordinate with local community hospitals regarding hospital privileges and relevant documents
Facilitate the delegated credentialing process with affiliated Professional Staff Affairs offices

Requirements

What you’ll need

High School diploma or GED required
Bachelor's degree preferred
1-3 years related work experience required
Provider Enrollment experience strongly preferred
Advanced skills with Microsoft applications, including Outlook, Word, Excel, PowerPoint or Access, and other web-based applications
Ability to produce complex documents, perform analysis, and maintain databases
Knowledge of Medicare, Medicaid, health plan credentialing, recredentialing and enrollment processes preferred
Knowledge of licensure requirements and regulations of relevant medical boards preferred
Ability to communicate complex information in English in written and verbal formats
Ability to make moderately complex decisions and recommendations
Ability to analyze and solve varied problems
Ability to work independently within general guidelines and seek assistance when needed
Ability to work collaboratively in small teams
Ability to provide high-level customer service and staff training
Ability to sustain concentrated effort for up to 4 hours without a break
Ability to work sedentarily, including constant sitting and keyboard use, with frequent fine manipulation
Must be vaccinated against influenza as a condition of employment

Benefits

Comp & perks

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