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Provider Enrollment Analyst Jobs in Wisconsin (NOW HIRING)

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Provider Enrollment Analyst information

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$14

$24

$36

How much do provider enrollment analyst jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for provider enrollment analyst in Wisconsin is $24.02, according to ZipRecruiter salary data. Most workers in this role earn between $19.42 and $26.44 per hour, depending on experience, location, and employer.

What is a provider enrollment analyst?

A Provider Enrollment Analyst is responsible for managing the enrollment and credentialing process for healthcare providers with insurance networks, Medicare, and Medicaid. They ensure that providers meet all regulatory and compliance requirements to be reimbursed for services. Their duties include completing applications, verifying credentials, maintaining accurate records, and addressing enrollment issues. This role requires strong attention to detail, knowledge of healthcare regulations, and excellent communication skills to coordinate with providers and payers.

What does a provider enrollment analyst do?

A provider enrollment analyst is responsible for processing and managing healthcare provider applications to ensure they are properly enrolled with insurance plans and government programs. They verify provider credentials, maintain accurate records, and ensure compliance with regulatory requirements, often using specialized software and documentation. This role supports the billing and reimbursement process within healthcare organizations.

What are the key skills and qualifications needed to thrive as a provider enrollment analyst?

To thrive as a Provider Enrollment Analyst, you need strong analytical skills, attention to detail, and a thorough understanding of healthcare regulations, payer requirements, and credentialing processes, often supported by a relevant degree or experience. Familiarity with provider enrollment software, credentialing databases, and proficiency in Microsoft Office Suite are commonly required, while certifications like CPCS or CPMSM are advantageous. Exceptional communication, organizational skills, and the ability to navigate shifting priorities help set top candidates apart. These competencies ensure accurate and timely provider onboarding, regulatory compliance, and effective collaboration with payers, providers, and internal teams.

What are some common daily responsibilities for a provider enrollment analyst?

As a Provider Enrollment Analyst, your typical day involves reviewing and processing provider applications, verifying credentials, monitoring compliance requirements, and ensuring timely submission of enrollment documents to payers or government agencies. You’ll frequently collaborate with healthcare providers, billing teams, and insurance companies to resolve any discrepancies and maintain up-to-date records. Additionally, you may assist with responding to audits and handling complex enrollment issues as they arise. This role offers a dynamic workload and plays a crucial part in ensuring providers are authorized to deliver services and receive reimbursement.

What are popular job titles related to Provider Enrollment Analyst jobs in Wisconsin?

For Provider Enrollment Analyst jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Provider Enrollment Analyst jobs in Wisconsin look for?

The top searched job categories for Provider Enrollment Analyst jobs in Wisconsin are:

Infographic showing various Provider Enrollment Analyst job openings in Wisconsin as of August 2026, with employment types broken down into 79% Full Time, and 21% Part Time. Highlights an 90% In-person, and 10% Hybrid job distribution, with an average salary of $49,964 per year, or $24 per hour.

Enrollment and Contracting Specialist

Noble Community Clinics

Manitowoc, WI • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New


Job description

Enrollment & Contracting Specialist

Noble Community Clinics is seeking an Enrollment & Contracting Specialist to join our team. This position plays an important role in ensuring our providers and clinic locations maintain active participation with insurance payers and remain compliant with enrollment and contracting requirements.

The Enrollment & Contracting Specialist manages provider and site enrollment, payer contracting, revalidation, and credentialing-related activities. This role works closely with providers, internal departments, insurance payers, and external partners to ensure enrollment information is accurate, current, and completed within required timelines.

What You'll Do

Provider Enrollment & Credentialing

  • Complete enrollment for new providers with applicable insurance payers and clearinghouses in a timely and accurate manner.
  • Utilize Credential Stream to maintain, track, submit, and initiate provider enrollment and demographic information.
  • Maintain CAQH proxy access on behalf of providers.
  • Track provider, site, and contract renewals and expiration dates to prevent enrollment lapses.
  • Coordinate payer revalidations, renewals, and enrollment updates.

Payer Contracting & Relationships

  • Establish and maintain professional relationships with insurance payer contacts.
  • Serve as an organizational contact for payer enrollment and contracting questions and issues.
  • Research payer requirements and develop guidelines for new provider and site agreements as needed.
  • Monitor payer requirements and communicate changes to appropriate internal departments.

Issue Resolution & Compliance

  • Track, research, and assist with resolving enrollment-related denials, adjustments, and payer issues.
  • Assist with enrollment-related appeals and payer escalations.
  • Identify and escalate outstanding or pending enrollment and contract issues.
  • Maintain knowledge of payer requirements and the unique regulatory and operational requirements of Federally Qualified Health Centers (FQHCs).
  • Maintain patient confidentiality and comply with HIPAA requirements.

Collaboration & Customer Service

  • Partner with internal departments to resolve enrollment and payer-related issues.
  • Provide responsive, professional customer service to providers, coworkers, payers, and other external partners.
  • Maintain a positive and professional image of Noble Community Clinics.
What We're Looking For
  • High school diploma or equivalent required.
  • Previous payer enrollment, credentialing, or payer contracting experience preferred.
  • Strong computer skills, including proficiency with Microsoft Office applications required.
  • Excellent organizational skills and attention to detail.
  • Strong analytical and problem-solving abilities.
  • Excellent time management skills and the ability to meet deadlines.
  • Strong interpersonal and communication skills.
  • CPR certification required within six months of hire.
Why Join Noble Community Clinics?

At Noble, you'll be part of a mission-driven organization focused on providing accessible, high-quality healthcare to the communities we serve. Your work will directly support our providers and help ensure patients have continued access to care.

Benefits may include:

  • 20 days of PTO (accrual starts on day one)
  • 8 paid holidays
  • 401(k) with up to 5% employer match
  • Medical, dental, and vision insurance
  • Employer paid Short- and long-term disability and life insurance

Noble Community Clinics is an Equal Opportunity Employer.