Provider Group Enrollment Specialist

Responsibilities: — Prepare and submit Medicare and state Medicaid enrollment applications, including initial enrollments, revalidations, and updates. — Gather and validate required provider and group practice documentation to ensure application accuracy and completeness. — Manage and track enrollment application status, follow up with payers, and resolve delays or submission issues. — Process and maintain Changes of Ownership (CHOWs), Changes of Information (COIs), and accurate provider enrollment records in accordance with CMS and state requirements. — Coordinate and ensure compliance by collaborating with internal teams, responding to payer inquiries, monitoring regulatory updates, and supporting internal and external audits. Requirements: — High school diploma or equivalent required. — Associate’s or Bachelor’s degree in Healthcare Administration, Business, or a related field preferred. — 1–3 years of experience in healthcare provider enrollment, credentialing, or a related administrative function preferred. — Working knowledge of Medicare and Medicaid enrollment processes, CMS 855 forms, PECOS, and at least one state Medicaid portal. — Proficiency in preparing, submitting, and tracking enrollment applications, managing deadlines, and maintaining accurate provider records. — Strong attention to detail, organization, time management, written and verbal communication, analytical problem-solving, and ability to work independently and collaboratively. Benefits: — Competitive benefits package with eligibility starting the month after hire and tiered options. — Compensation reviews and career growth opportunities. — Flexible remote schedules. — Generous PTO plans and paid holidays. — Certified as a Great Place to Work for five consecutive years. Additional Information: — Salary range $51,600 - $77,300 annually, with eligibility for an annual discretionary bonus. — Offers health & wellness coverage options, 401k benefits, family planning, and telehealth benefits subject to eligibility. — Equal opportunity employer committed to diversity, inclusion, and a safe work environment. — Remote work location. To apply, visit: https://weworkremotely.com/remote-jobs/radiology-partners-provider-group-enrollment-specialist