Provider Enrollment Specialist

Vituity

. Prepare, submit, and scan approximately 1,000 provider enrollment applications annually for Medicare, Medicaid, Blue Cross, Blue Shield, CAQH, and other payer programs .

Posted 10/8/2026full-timeRemote • California • United StatesJuniorMid-Level💰 $23 - $29 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider enrollment processes, including Medicare and Medicaid, while effectively managing administrative duties and ensuring compliance with regulatory standards. Proficient in Salesforce and Microsoft Office Suite, with strong communication and organizational skills to enhance workflow efficiency.

Highest-signal resume keywords

Provider Enrollment ExperienceSalesforce ProficiencyHealthcare Billing KnowledgeRegulatory Compliance ManagementTime Management and Organization

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider EnrollmentHealthcare BillingData Integrity ManagementSalesforce ConfigurationMicrosoft Office Suite ProficiencyDocuSign UsagePayer Portal ManagementApplication MonitoringCredentialing CoordinationCompliance Training Participation

Soft Skills

Effective CommunicationCritical ThinkingInterpersonal SkillsOrganizational SkillsProblem-Solving

Tools & Technologies

SalesforceDocuSignMicrosoft Office SuiteTeamsSharePoint

Industry Keywords

MedicareMedicaidProvider CredentialsEnrollment ProcessesNPI TaxonomyPayer ProgramsBilling ManualsCompliance StandardsHealthcare ExperienceEnrollment Systems

About the role

Key responsibilities & impact

Prepare, submit, and scan approximately 1,000 provider enrollment applications annually for Medicare, Medicaid, Blue Cross, Blue Shield, CAQH, and other payer programs
Manage payer portal access for individual providers
Submit applications to supervisors/managers for audit and work toward an error rate below 10%
Monitor applications to ensure approvals are received and communicated to the billing team before timely filing
Manage daily administrative duties and enhance workflow efficiency
Prioritize requests, manage workload, and execute project plans within deadlines
Work remotely full-time and operate independently with little guidance
Respond to internal and external inquiries on enrollment and contract matters, including payer follow-up every two weeks when needed
Liaise between the billing company, providers, and payer representatives to resolve enrollment issues
Coordinate credentialing for initial, updating, add-on, and maintenance applications
Communicate with providers and departments while maintaining strict confidentiality of provider credentials
Configure Salesforce record types, dashboards, reports, and custom settings
Update Salesforce with billing numbers, contract information, application dates, communications, and issues
Document ongoing and open tasks in databases
Use Salesforce Data Loader for bulk data imports
Use DocuSign to distribute provider enrollment documents, obtain signatures, and follow up with carriers
Deactivate inactive providers from Medicare, Medicaid, and other payers to maintain regulatory compliance
Ensure data integrity and participate in compliance training and development
Review pro forma for new contracts and help protect revenue
Research and resolve payer issues with payers and the billing company
Participate in payer trainings and webinars to implement process improvements
Support research, review, and testing of educational materials for organizational growth

Requirements

What you’ll need

HS Diploma in combination with relative work experience required
2-4 years related healthcare experience required
Bachelor’s degree is preferred
3+ years of related healthcare experience preferred
Knowledge of billing or reimbursement is desired
Provider Enrollment experience is desired
Ability to effectively interact with providers, payer representatives, internal departments, team members, and other stakeholders, both in written and verbal communication
Ability to accomplish tasks thoroughly and accurately
Ability to effectively manage time and organize
Ability to learn billing processes, including timely filing and claims denial reasons
Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, OneDrive, PowerPoint, etc.)
Knowledge of additional technology-based assistance (Teams, SharePoint, etc.)
Knowledge of online Medicare/Medicaid enrollment systems, Identity & Access system, Counsel for Affordable Quality Healthcare system, Medicare enrollment specialties, and National Provider Identifier taxonomies
Knowledge of Medicaid enrollment processes, including revalidations, medical license expirations, deactivations, NPI taxonomy importance, Medicaid managed care data flows, Medicaid billing manuals, state administrative codes, border-state enrollment, and out-of-state enrollment
Knowledge of Salesforce, including Individual Enrollment Contracts, Group Enrollment Contracts, Contracts, Work History, Provider Status, and Clinical Activities objects, dashboards, and reporting
Develop critical thinking skills and professional relationships

Benefits

Comp & perks

Monthly wellness events and programs such as yoga, HIIT classes, and more
Trainings to help support and advance your professional growth
Team building activities such as virtual scavenger hunts and holiday celebrations
Flexible work hours
Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more
Superior health plan options
Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service)
Generous paid time off starting 3-4 weeks’ annually
Student Loan Refinancing Discounts
Professional and Career Development Program
EAP and travel assistance included
Wellness program
Purpose-driven culture focused on improving the lives of our patients, communities, and employees
Annual corporate Success Sharing bonus program based on the company’s annual performance