Provider Enrollment Coordinator

Integrative Emergency Services

. Complete CAQH applications for new and existing providers .

Posted 10/8/2026full-timeDallas • Texas • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in payer enrollment processes, including CAQH applications and reporting, while maintaining strong organizational and communication skills to manage high-volume enrollments effectively.

Highest-signal resume keywords

Payer Enrollment ExperienceCAQH Profile ManagementMicrosoft Office ProficiencyAnalytical SkillsCustomer Service Orientation

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

CAQH ApplicationsEnrollment ReportingApplication PreparationData ManagementClaim Submission Requirements

Soft Skills

Organizational SkillsVerbal CommunicationWritten CommunicationAttention to DetailTelephone Skills

Tools & Technologies

Microsoft WordMicrosoft ExcelEnrollment Management Systems

Industry Keywords

Government Healthcare PayerCommercial PlansMulti-state EnrollmentProvider EnrollmentBilling Companies

About the role

Key responsibilities & impact

Complete CAQH applications for new and existing providers
Maintain CAQH reporting and attest provider applications every 120 days
Prepare applications for new providers across multiple contract sites, payers, and states
Submit applications electronically to payers based on contracts
Track and follow up to ensure timely completion and payer approval
Communicate with clinicians, state payers, insurance carriers, third-party billing companies, and internal staff
Build relationships with payers to facilitate enrollment and obtain provider billing numbers
Prepare correspondence and application materials with accurate provider and group information
Work with in-house and third-party billing companies on applications, system updates, and problem resolution
Handle corrections or claim rejections caused by enrollment errors or claim submission requirements
Report issues and problem status to the Enrollment Manager
Submit held A/R enrollments promptly and maintain held A/R reports
Meet divisional and corporate enrollment performance standards and deadlines
Update application statuses in databases and Excel reports
Interpret state and payer requirements and identify applications requiring management approval or special processing
Manage high-volume enrollments and drive provider enrollments through completion
Maintain enrollment reporting for Superior Health, Healthscope, Cigna, and other payers
Assist with Enrollment Master Reports and track submissions, revalidations, and re-enrollments for providers and groups
Adhere to company policies and procedures

Requirements

What you’ll need

High School Diploma
2+ years payer enrollment (individual provider and group enrollment) or related experience
Ability to obtain, set-up, maintain, and reattest CAQH profiles
Prior government healthcare payer experience
Excellent analytical, organizational, and verbal/written communication skills
Strong telephone skills
Ability to manage multiple priorities with high attention to detail in a high-volume, fast-paced environment
Strong customer service orientation
Ability to use discretion appropriately and maintain confidentiality
High proficiency with Microsoft Office applications, especially Microsoft Word and Excel
Ability to read, write, and speak English proficiently
Bachelor's degree preferred
Enrollment experience with both Commercial and Government Plans preferred
Multi-state Enrollment Experience preferred
Ability to fulfill office activities, including computer-based work, filing, and lifting/carrying office supplies
Occasionally lift and/or move up to 20–25 pounds

Benefits

Comp & perks

Hybrid work format: 3 days in office (typically Tuesday–Thursday)
Core business hours typically 8:30am–5pm
Equal employment opportunity and reasonable accommodations for individuals with disabilities
Diverse, inclusive, and equitable work environment