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Medicare Provider Enrollment Analyst Jobs (NOW HIRING)

REGENCY GROUP

Provider Enrollment Analyst (84849)

TX · On-site

... Provider Enrollment Analyst to join our corporate team in Victoria, TX. This role plays a critical ... Medicare-certified and eligible to receive reimbursement for services rendered to Medicare ...

Regency Group

Provider Enrollment (86410)

Austin, TX · On-site

... Medicare-certified and eligible to receive reimbursement for services rendered to Medicare ... The Provider Enrollment Analyst ensures that all documentation is accurate, complete, and submitted ...

REGENCY GROUP

Provider Enrollment (86410)

Austin, TX · On-site

... Medicare-certified and eligible to receive reimbursement for services rendered to Medicare ... The Provider Enrollment Analyst ensures that all documentation is accurate, complete, and submitted ...

Curana Health, Inc.

Summary The Medicare & Medicaid Enrollment Analyst is responsible for overseeing and managing all ... Medicaid Provider & Group Enrollment * Submit revalidation Medicaid applications for both ...

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Medicare Provider Enrollment Analyst information

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How much do medicare provider enrollment analyst jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for medicare provider enrollment analyst in the United States is $23.80, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $26.20 per hour, depending on experience, location, and employer.

How to become a Medicare Provider Enrollment Analyst?

To become a Medicare Provider Enrollment Analyst, candidates typically need a bachelor's degree in healthcare administration, health information management, or a related field. Relevant experience in healthcare compliance, knowledge of Medicare policies, and proficiency with enrollment systems like PECOS are also important; certifications such as the Certified Provider Enrollment Specialist (CPES) can enhance prospects.

What are the key skills and qualifications needed to thrive as a Medicare Provider Enrollment Analyst, and why are they important?

To thrive as a Medicare Provider Enrollment Analyst, you need a solid understanding of healthcare regulations, provider credentialing, and Medicare enrollment processes, often supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with Medicare's Provider Enrollment, Chain, and Ownership System (PECOS), as well as document management and compliance tracking tools, is typically required. Strong attention to detail, analytical thinking, and effective communication skills help analysts navigate complex regulations and ensure accurate provider data. These skills are critical for ensuring timely provider enrollment, maintaining regulatory compliance, and minimizing disruptions in healthcare services.

What is the difference between Medicare Provider Enrollment Analyst vs Medicare Claims Specialist?

AspectMedicare Provider Enrollment AnalystMedicare Claims Specialist
Required CredentialsTypically requires healthcare or administrative certifications, knowledge of Medicare policiesOften requires claims processing certifications, familiarity with billing systems
Work EnvironmentOffice setting, government or healthcare organizationHealthcare provider offices, billing departments
Employer & Industry UsageUsed by Medicare administrative contractors, healthcare organizationsUsed by hospitals, clinics, insurance companies
Search & Comparison IntentUnderstanding roles related to Medicare enrollment processesUnderstanding claims processing and billing procedures

The Medicare Provider Enrollment Analyst primarily focuses on enrolling providers into Medicare, ensuring compliance with policies. In contrast, the Medicare Claims Specialist handles claims processing, billing, and reimbursement. Both roles require healthcare knowledge but serve different functions within the Medicare ecosystem.

What are some common challenges Medicare Provider Enrollment Analysts face when processing provider applications?

Medicare Provider Enrollment Analysts often encounter challenges such as navigating complex federal regulations, verifying incomplete or inconsistent provider documentation, and staying updated with frequent policy changes. These analysts must be detail-oriented to ensure all required information is accurate and compliant, as errors can delay provider approval and patient care. Collaboration with providers, internal teams, and regulatory agencies is essential to resolve issues quickly and efficiently.

What does a Medicare Provider Enrollment Analyst do?

A Medicare Provider Enrollment Analyst is responsible for reviewing and processing applications from healthcare providers who wish to enroll in the Medicare program. They verify credentials, ensure compliance with federal regulations, and maintain accurate records to support provider participation. Analysts may also communicate with providers to resolve discrepancies or request additional information, and they play a key role in preventing fraud and ensuring only qualified providers are approved. Their work helps maintain the integrity of the Medicare system and ensures beneficiaries receive care from eligible providers.
More about Medicare Provider Enrollment Analyst jobs
What are the most commonly searched types of Medicare Provider Enrollment Analyst jobs? The most popular types of Medicare Provider Enrollment Analyst jobs are:
What job categories do people searching Medicare Provider Enrollment Analyst jobs look for? The top searched job categories for Medicare Provider Enrollment Analyst jobs are:
Medicare Provider Enrollment Analyst jobs near you
Infographic showing various Medicare Provider Enrollment Analyst job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 77% Full Time, 14% Part Time, and 6% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $49,501 per year, or $23.8 per hour.

Provider Enrollment Analyst (84849)

Regency Integrated Health Services

Victoria, TX • On-site

Other

Re-posted yesterday

Job description

Provider Enrollment Analyst

Regency's Provider Enrollment Department is seeking a detail-oriented and highly organized Provider Enrollment Analyst to join our corporate team in Victoria, TX. This role plays a critical part in supporting Texas-based skilled nursing facilities (SNFs) through the provider enrollment process, which allows facilities to become Medicare-certified and eligible to receive reimbursement for services rendered to Medicare beneficiaries. This process involves meeting specific federal and state requirements, completing detailed applications, and undergoing strict verification procedures. The Provider Enrollment Analyst ensures that all documentation is accurate, complete, and submitted on time, helping our facilities remain compliant and operationally efficient.

Essential Functions

  • Prepare, format, and submit provider enrollment applications to government agencies and third-party payers.
  • Track and monitor the status of enrollment submissions for multiple facilities, ensuring deadlines and compliance requirements are met.
  • Maintain accurate and organized documentation, files, and status records for each facility.
  • Retrieve and compile required documents for audits, renewals, and internal reporting.
  • Provide administrative and operational support to the Provider Enrollment department.
  • Coordinate with facility staff and external agencies to gather information and resolve issues.
  • Stay informed on changes to provider enrollment regulations and payer guidelines.
  • Other duties as assigned by the supervisor or CFO.

Qualifications

  • High school diploma or equivalent required; Associate's or Bachelor's degree preferred.
  • Experience in healthcare AR, claim billing, or facility or provider enrollment is strongly preferred.
  • Exceptional organizational skills, attention to detail, and customer service skills.
  • Ability to manage multiple priorities and meet firm deadlines.
  • Proficiency in Microsoft Office Suite (especially Excel and Outlook).
  • Knowledge and understanding of Adobe PDF or Foxit Phantom PDF.
  • Strong communication and interpersonal skills.
Regency Integrated Health Services logo

About Regency Integrated Health Services

Sourced by ZipRecruiter

Regency Integrated Health Services, located in Victoria, Texas, U.S., is a healthcare provider operating within post-acute healthcare and rehabilitation industry sector. As a well-known name in the industry with an official website at regencyhealthcare.com, the company specializes in offering a wide range of health services which primarily include skilled nursing, rehabilitation, long-term care, and assisted living services. Since its inception, Regency Integrated Health Services has been committed to providing the highest possible standards in healthcare.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Victoria, TX, US

Year founded

2015

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