Provider Enrollment Specialist

National Partners In Healthcare

. Manage enrollment and revalidation of healthcare providers with government and commercial payers .

Posted 10/17/2026full-timeRemote • United StatesJuniorMid-Level💰 $21 - $25 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Proficient in managing provider enrollment and recredentialing processes, ensuring compliance with payer guidelines and CMS regulations. Strong organizational and communication skills are essential for coordinating with various departments and maintaining accurate provider information.

Highest-signal resume keywords

Provider Enrollment ManagementPayer CredentialingCompliance KnowledgeData Entry SkillsInterpersonal Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider EnrollmentRecredentialingData EntryClerical SkillsAttention to DetailOrganizational SkillsBusiness Office ProceduresHealthcare KnowledgeRegulatory ComplianceMedical-Legal Issues

Soft Skills

Interpersonal SkillsCommunication SkillsMultitaskingJudgmentPoise

Certifications & Qualifications

Associate’s Degree in Business Administration

Industry Keywords

Healthcare ProvidersPayer RepresentativesEnrollment GuidelinesCMS RegulationsCredentialing IndustryNational Standards

About the role

Key responsibilities & impact

Manage enrollment and revalidation of healthcare providers with government and commercial payers
Prepare, submit, and track provider enrollment, revalidation, and recredentialing applications
Maintain accurate provider demographic, licensure, certification, and contract information
Serve as primary contact for providers regarding enrollment status, documentation, timelines, and payer correspondence
Review applications for completeness, accuracy, and compliance
Communicate with payer representatives to resolve discrepancies, follow up on submissions, and address denials or terminations
Coordinate with credentialing, billing, compliance, and contracting departments
Monitor enrollment statuses and resolve issues that could delay activation or disrupt reimbursement
Document enrollment activities, correspondence, and approvals
Ensure timely revalidation and recredentialing
Stay current on payer enrollment guidelines, CMS regulations, and industry best practices
Maintain daily, ongoing contact with administrative staff, clinical providers, and outside contacts
No direct reports; perform other duties as assigned

Requirements

What you’ll need

Residence in Arizona, Texas, Tennessee, New Hampshire, Florida, or North Carolina
High School education level listed
Associate’s degree in Business Administration or related field, or equivalent combination of education and experience required
Two plus years of experience in payer credentialing required
Two years of credentialing experience required
A minimum of two-five years’ experience and proven proficiency in provider enrollment payer credentialing required
Excellent computer, data entry, and clerical skills
Knowledge of business office procedures
Excellent interpersonal, clerical, telephone, and communication skills
Ability to multitask and deal effectively with varied situations requiring judgment and poise
Attention to detail and organizational abilities
Demonstrated working knowledge of the healthcare and credentialing industry, including medical-legal issues, laws, regulatory agencies, and national standards preferred

Benefits

Comp & perks

Full-time positions are eligible for a discretionary bonus
Comprehensive benefits package
Career advancement opportunities
Healthy work/life balance
Opportunity and encouragement to reach potential