Provider Enrollment Specialist

Simsy Ventures

. Review and validate medical provider enrollment applications, including initial, re-enrollment, reactivation, and updates .

Posted 11/11/2026full-timeRemote • United StatesMid-LevelSenior💰 $20 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider enrollment processes, including CMS 855 application management and PECOS utilization, while ensuring compliance with regulations and maintaining confidentiality. Strong communication and analytical skills are essential for resolving discrepancies and providing guidance to potential enrollees.

Highest-signal resume keywords

CMS 855 Application ManagementPECOS UtilizationProvider Enrollment ExperienceCustomer Service SkillsMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider EnrollmentEFT Account SetupData VerificationDatabase ManagementBusiness Math Competency

Soft Skills

Strong JudgmentOrganization SkillsClear CommunicationAnalytical ThinkingDiscretion

Industry Keywords

MedicareBackground CheckConfidential InformationApplication ProcessingProvider Education

About the role

Key responsibilities & impact

Review and validate medical provider enrollment applications, including initial, re-enrollment, reactivation, and updates
Verify provider data via internal databases and external agencies; set up and test EFT accounts
Enter and update provider information in enrollment databases and directories
Communicate with providers, agencies, and internal departments to resolve discrepancies
Supply application materials and process guidance to potential enrollees
Assist with special projects, process improvements, provider education, and system testing
Participate in growth and development opportunities within the role

Requirements

What you’ll need

Must be willing to undergo and pass an EAU CMS Background Check including fingerprinting
CMS 855 application management experience
PECOS utilization experience
Customer service representative (CSR) experience
Previous provider enrollment experience for Medicare
High school diploma or equivalent required
Proficiency with word processing
Strong judgment, organization, and customer service skills
Clear verbal and written communication
Solid grammar, spelling, and punctuation skills
Basic business math competency
Analytical and critical thinking ability
Discretion in handling confidential information
Microsoft Office
Must live in and work from an eligible U.S. state when hired and throughout employment
Background checks and drug testing prior to start of employment

Benefits

Comp & perks

401(k) and company match
PTO that grows the longer you stay
Health, Vision, Dental
Company provided Life Insurance and Voluntary Life Insurance
Short Term Disability and Long Term Disability