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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 ...

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 ...

NorthBay Health

Provider Enrollment Analyst

Fairfield, CA · On-site

$38.09 - $46.32/hr

At NorthBay Health, the Provider Enrollment analyst is responsible for all Medical Staff and Allied Health Practitioner (AHP) heal plan credentialing and recredentialing with government and ...

Ventra Health, Inc.

Provider Enrollment Specialist

Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone ... Strong analytical skills * Strong decision-making skills * Strong problem-solving skills * Strong ...

Ventra Health, Inc.

Provider Enrollment Specialist

Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone ... Strong analytical skills * Strong decision-making skills * Strong problem-solving skills * Strong ...

Ventra Health, Inc.

Provider Enrollment Specialist

Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone ... Strong analytical skills * Strong decision-making skills * Strong problem-solving skills * Strong ...

Ventra Health, Inc.

Provider Enrollment Specialist

Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone ... Strong analytical skills * Strong decision-making skills * Strong problem-solving skills * Strong ...

Ventra Health, Inc.

Provider Enrollment Specialist

Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone ... Strong analytical skills * Strong decision-making skills * Strong problem-solving skills * Strong ...

Denver Health

Provider Enrollment Specialist II

Denver, CO · On-site

$24.33 - $34.06/hr

... Medicare, Medicaid and Dental Plans enrollments for the Medical Staff and Advanced Practice ... interpreting, analyzing, and researching data (5%) * Proactively obtains updated provider ...

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All JobsMedicare Provider Enrollment Analyst Jobs

Medicare Provider Enrollment Analyst information

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

As of Jul 30, 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.

What does a Medicare analyst do?

A Medicare Provider Enrollment Analyst reviews and processes applications for healthcare providers to enroll in the Medicare program. They ensure compliance with federal regulations, verify provider credentials, and maintain accurate enrollment records, often using specialized software and data analysis skills.

Is credentialing specialist a stressful job?

A Medicare Provider Enrollment Analyst role can be stressful due to strict deadlines, detailed documentation requirements, and the need for accuracy in processing provider information. The job often involves managing complex regulations and coordinating with multiple departments, which can contribute to workload pressure. However, the level of stress varies based on individual experience and workplace environment.

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 provider enrollment analyst do?

A provider enrollment analyst is responsible for processing and verifying healthcare provider applications to ensure compliance with Medicare and other insurance program requirements. They review documentation, maintain provider records, and ensure timely enrollment, often using specialized databases and adhering to regulatory guidelines.

How to become a Medicare enrollment specialist?

To become a Medicare enrollment specialist, candidates typically need a high school diploma or equivalent, with some roles requiring a bachelor's degree in healthcare administration or related fields. Relevant skills include knowledge of Medicare policies, strong communication, and proficiency with enrollment systems like the Provider Enrollment, Chain, and Ownership System (PECOS). Certification or training in Medicare policies can enhance job prospects, and experience in healthcare or insurance is often preferred.

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 July 2026, with employment types broken down into 89% Full Time, 6% Part Time, 1% Temporary, and 4% Contract. Highlights an 83% Physical, 7% Hybrid, and 10% Remote job distribution, with an average salary of $49,501 per year, or $23.8 per hour.

Provider Enrollment Analyst (84849)

REGENCY GROUP

TX • On-site

Full-time

Re-posted 24 days ago

Job description

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.

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.

Apply