Provider Enrollment Specialist
Miami, FL · On-site
Complete and track initial and re-credentialing applications for various health insurance portals, including CAQH, PECOS, NPPES, Navinet, Availity, PaySpan, CMS, and Managed Care Organizations ...
Provider Enrollment Specialist
Miami, FL · On-site
Complete and track initial and re-credentialing applications for various health insurance portals, including CAQH, PECOS, NPPES, Navinet, Availity, PaySpan, CMS, and Managed Care Organizations ...
Provider Enrollment Specialist
Miami, FL · On-site
Complete and track initial and re-credentialing applications for various health insurance portals, including CAQH, PECOS, NPPES, Navinet, Availity, PaySpan, CMS, and Managed Care Organizations ...
Provider Enrollment Specialist
Miami, FL · On-site
Complete and track initial and re-credentialing applications for various health insurance portals, including CAQH, PECOS, NPPES, Navinet, Availity, PaySpan, CMS, and Managed Care Organizations ...
Healthcare Accounts Receivable Senior Associate
Boca Raton, FL · On-site
$65K - $80K/yr
Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR reports to identify trends and areas for improvement * Prepare and present AR reports to management
Quick apply
Healthcare Accounts Receivable Senior Associate
Boca Raton, FL · On-site
$65K - $80K/yr
Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR reports to identify trends and areas for improvement * Prepare and present AR reports to management
Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR reports to identify trends and areas for improvement * Prepare and present AR reports to management
Quick apply
Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR reports to identify trends and areas for improvement * Prepare and present AR reports to management
Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR reports to identify trends and areas for improvement * Prepare and present AR reports to management
Quick apply
Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR reports to identify trends and areas for improvement * Prepare and present AR reports to management
Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR reports to identify trends and areas for improvement * Prepare and present AR reports to management
Quick apply
Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR reports to identify trends and areas for improvement * Prepare and present AR reports to management
Navinet information
See Florida salary details
$8.44 - $9.24
1% of jobs
$9.24 - $10.04
2% of jobs
$10.04 - $10.84
5% of jobs
$10.84 - $11.64
10% of jobs
$11.91 is the 25th percentile. Wages below this are outliers.
$11.64 - $12.44
19% of jobs
The median wage is $13.08 / hr.
$12.44 - $13.24
16% of jobs
$13.24 - $14.04
17% of jobs
$14.38 is the 75th percentile. Wages above this are outliers.
$14.04 - $14.84
13% of jobs
$14.84 - $15.64
8% of jobs
$15.64 - $16.44
6% of jobs
$16.44 - $17.25
3% of jobs
$8
$13
$17
How much do navinet jobs pay per hour?
As of Aug 14, 2026, the average hourly pay for navinet in Florida is $13.23, according to ZipRecruiter salary data. Most workers in this role earn between $11.88 and $14.38 per hour, depending on experience, location, and employer.
How does a NaviNet specialist collaborate with healthcare providers and payers to resolve issues and ensure smooth information exchange?
As a Navinet specialist, you'll frequently act as a liaison between healthcare providers and insurance payers, helping both parties navigate the platform to address eligibility, claims, and authorization issues. You'll often collaborate with provider offices to troubleshoot technical problems and train staff on best practices, while also communicating with payer representatives to escalate and resolve complex cases. This role requires strong communication skills and the ability to manage multiple tasks efficiently, as you'll be balancing routine support with periodic training or project work. Working closely with IT and customer service teams is common to maintain seamless operations and continuous platform improvement.
What are the key skills and qualifications needed to thrive as a NaviNet specialist, and why are they important?
To thrive as a NaviNet Specialist, you need a solid understanding of healthcare payer-provider workflows and experience with the NaviNet platform, often supported by a background in healthcare administration or IT. Familiarity with electronic health records (EHRs), insurance verification systems, and secure data exchange protocols is typically required. Attention to detail, strong problem-solving abilities, and effective communication skills help specialists manage complex information and assist users. These skills ensure accurate, efficient processing of healthcare transactions and optimal use of the NaviNet system in connecting payers and providers.
What is a NaviNet specialist?
A Navinet specialist is a professional who is proficient in using the NaviNet platform, which is a healthcare communication and workflow management tool. These specialists help healthcare providers, payers, and patients access and exchange important healthcare information such as insurance eligibility, claims status, and referrals. They often provide support, training, and troubleshooting for users to ensure efficient use of the system. Their expertise helps streamline administrative tasks and improve overall healthcare coordination.
What is the difference between Navinet vs Medical Billing Specialist?
| Aspect | Navinet | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires knowledge of healthcare systems, insurance, and possibly certifications like CPC or CPC-H | Requires knowledge of billing codes, insurance claims, and often certifications like CPC or CPC-H |
| Work Environment | Healthcare provider offices, insurance companies, or billing service companies | Medical offices, billing companies, or healthcare facilities |
| Employer & Industry Usage | Used by healthcare providers and insurance networks for claims processing | Employed by healthcare providers and billing firms to process patient bills and insurance claims |
| Search & Comparison Intent | Often compared for understanding healthcare claims systems and billing processes | Compared for billing procedures, coding, and claims management skills |
Navinet is a healthcare claims management platform used by providers and insurers, while a Medical Billing Specialist handles billing and coding tasks within healthcare settings. Both roles require knowledge of insurance and billing procedures but differ in their primary functions and work environments.
What are popular job titles related to Navinet jobs in Florida?
For Navinet jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Navinet jobs in Florida look for?
The top searched job categories for Navinet jobs in Florida are:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 17 days ago
Job description
Pinnacle Wound Management is a leading wound care provider dedicated to delivering high-quality patient care. We are seeking a detail-oriented Provider Enrollment Specialist to join our team. This role is critical in ensuring our healthcare professionals meet all necessary licensing, certification, and regulatory requirements.
As a Provider Enrollment Specialist, you will be responsible for managing the credentialing and re-credentialing process for all of our physicians and mid-level healthcare providers. You will maintain accurate records, verify professional credentials, and ensure compliance with industry regulations and accreditation standards.
If you are a meticulous and organized professional with a passion for healthcare compliance, we want to hear from you! Apply now to join us in ensuring the highest standards of wound care excellence!
Key Responsibilities:
- Maintain accurate and up-to-date provider files, ensuring compliance with all credentialing requirements
- Complete and track initial and re-credentialing applications for various health insurance portals, including CAQH, PECOS, NPPES, Navinet, Availity, PaySpan, CMS, and Managed Care Organizations
- Assist new providers with applications for National Provider Identifier (NPI), Medicare, and Medicaid numbers.Monitor and update provider CAQH profiles in accordance with CMS and Managed Care Organization guidelines
- Manage termination of payer enrollments for providers leaving the organization
- Provide updated demographic information and supporting documents to external stakeholders, including commercial payers and billing entities
- Collaborate with the Director of Operations to ensure timely credentialing and re-credentialing of all providers.
- Track and ensure the renewal of state DEA licenses, board certifications, and malpractice insurance
- Identify and resolve potential onboarding issues, offering solutions to streamline the credentialing process
- Maintain records of all managed care contracts and ensure portal logins remain active. Ensure compliance with relevant accrediting and regulatory agencies
- Monitor trends and recommend improvements to credentialing workflows
Requirements
Benefits
- 401k
- 401k matching
- Competitive pay
- Medical, dental, and vision insurance
- Paid time off
- Free parking
- No nights, no weekends
- Monday - Friday, 8 hour shift