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Provider Enrollment Analyst Jobs (NOW HIRING)

Anders

Senior Provider Enrollment Specialist

Tulsa, OK · On-site

$65K - $73K/yr

The Senior Provider Enrollment Specialist at A5 Services serves as a key leader in the ... Analyze data and produce reports on credentialing metrics and trends. * Participate in continuous ...

Denver Health

Provider Enrollment Specialist I

$24.33 - $34.06/hr

We are recruiting for a mission-driven Provider Enrollment Specialist I to join our team! We're ... interpreting, analyzing, and researching data (5%) * Proactively obtains updated provider ...

Denver Health

Provider Enrollment Specialist I

Denver, CO · On-site

$24.33 - $34.06/hr

We are recruiting for a mission-driven Provider Enrollment Specialist I to join our team! We're ... interpreting, analyzing, and researching data (5%) * Proactively obtains updated provider ...

CVS Health

Enrollment Analyst (Omnicare)

Homer, AK · On-site

$43K - $93K/yr

Collaborates with enrollment coordinators, providing leadership and training to ensure efficient and accurate enrollment processes. * Monitors enrollment data and metrics, identifying trends ...

Delta Dental Plan of Indiana, Inc.

$55 - $75/hr

Electronic Enrollment Analyst Number of Positions: 1 Location: Okemos, MI Location Specifics ... Initiates corrective action, providing follow-up to ensure that correction is completed. * Requests ...

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Provider Enrollment Analyst information

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How much do provider enrollment analyst jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for 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 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 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 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.

How to become a provider enrollment analyst?

To become a provider enrollment analyst, candidates typically need a bachelor's degree in healthcare administration, business, or a related field. Relevant skills include knowledge of healthcare regulations, data management, and proficiency with enrollment systems or databases; certifications such as Certified Healthcare Access Manager (CHAM) can be beneficial. Experience in healthcare billing, coding, or provider enrollment processes is often required or preferred.
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Provider Enrollment Analyst jobs near you
Infographic showing various Provider Enrollment Analyst job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 77% In-person, and 23% Remote job distribution, with an average salary of $49,501 per year, or $23.8 per hour.

Provider Enrollment Specialist

4 Corner Resources

Florida, NY • Hybrid

$28/hr

Contractor

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

Enrollment & Billing Specialist 6 Month Contract Location: Lake Mary, FL (Hybrid) Schedule: Monday-Friday, 9:00 AM - 5:00 PM 3 days onsite (Tuesday-Thursday) Pay Rate: $28/hour 4 Corner Resources is seeking an experienced Enrollment & Billing Specialist to support healthcare enrollment, eligibility, billing, and member account operations across multiple lines of business, including Medicare and Medicaid plans. This role requires strong attention to detail, excellent data entry accuracy, advanced Excel skills, and the ability to work in a fast-paced, team-oriented environment.

Key Responsibilities

Process member enrollments, disenrollments, terminations, and account updates accurately and within established service level agreements Review and reconcile eligibility and billing reports to ensure member records and premium payments are correctly applied Perform high-volume data entry and maintain accuracy across multiple systems and platforms Investigate and resolve member account discrepancies, billing issues, and eligibility concerns Process payments, refunds, and account adjustments as needed Review and update transactions within customer management and workflow systems Collaborate with Contact Center Operations, Member Services, and cross-functional teams to resolve escalated member inquiries Working within vendor and healthcare platforms to validate eligibility and enrollment information Maintain daily productivity and quality standards Support additional operational and administrative duties as assigned Required Qualifications High school diploma or GED required Experience working in healthcare enrollment, billing, eligibility, or member services operations Strong data entry and multitasking skills in high-volume environments Advanced Microsoft Excel experience, including pivot tables, filtering, and reconciliation reporting Proficiency with Microsoft Outlook and Word Experience using CRM, workflow management, or healthcare processing systems Strong attention to detail and organizational skills Ability to work collaboratively within a team environment Strong verbal and written communication skills Ability to work overtime as needed Preferred Qualifications Bachelor's degree preferred Previous experience in Medicare, Medicaid, managed care, or commercial insurance environments Experience with auditing, reconciliation, or analytical reporting Experience working with eligibility platforms and vendor systems Knowledge of healthcare enrollment workflows and member record processing Experience with Microsoft Access or data management systems preferred

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