Provider Enrollment Specialist

Job Description

Job Description

Title : Enrollment Specialist

Location : USA / Remote

Reports to : Provider Enrollment Manager

FLSA Classification : Full-Time

Salary Range : $22.00-$27.00

Position Overview :

The Enrollment Specialist is responsible for managing all aspects of payer enrollment to ensure providers are properly credentialed and active with health plans. This role requires strong attention to detail, effective communication with providers and staff, and diligent follow-up to ensure all enrollment tasks are completed accurately and timely. The Enrollment Specialist maintains comprehensive documentation in the credentialing system and associated tracking tools to support compliance and operational efficiency.

Key Responsibilities :

Coordinate all managed care credentialing and enrollment activities to ensure timely provider participation status.

Prepare and submit credentialing and re-credentialing applications for managed care companies and other relevant agencies.

Maintain accurate logs, lists, records, and documentation required for credentialing and re-credentialing processes.

Verify provider information and communicate with health plan representatives and internal teams as needed.

Conduct consistent follow-up with payers to expedite credentialing outcomes.

Prepare and complete applications, link letters, and spreadsheets in accordance with managed care organization specifications.

Build and maintain positive relationships with managed care organizations, clients, and internal stakeholders.

Ensure compliance with internal standards and payer-specific requirements.

Perform additional duties and special projects as assigned.

Qualifications :

Highly self-motivated with experience in healthcare provider enrollment, credentialing, or re-credentialing preferred.

Strong organizational and time management skills with the ability to prioritize and manage multiple tasks.

Proficiency with credentialing systems and Microsoft Office Suite; ability to learn new systems quickly.

Excellent written and verbal communication skills with a strong customer service orientation.

Proven ability to work independently while maintaining collaboration across teams.

Detail-oriented with a commitment to accuracy and compliance.

Demonstrates flexibility, professionalism, and sound judgment in all interactions.

Additional Information :

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

Coronis Health is committed to creating a diverse and inclusive environment where all employees are treated fairly and with respect. We are an equal-opportunity employer, providing equal opportunities to all applicants and employees regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected characteristic. We welcome and encourage applications from candidates of all backgrounds.