The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to ... Strong analytical skills * Strong decision-making skills * Strong problem-solving skills * Strong ...
The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to ... Strong analytical skills * Strong decision-making skills * Strong problem-solving skills * Strong ...
Provider Enrollment Specialist
Chicago, IL · On-site
$60K - $75K/yr
About The Role The Provider Enrollment Specialist is responsible for processing, verifying and ... Strong analytical, organizational and problem solving skills. * Excellent written and verbal ...
Provider Enrollment Specialist
Chicago, IL · On-site
$60K - $75K/yr
About The Role The Provider Enrollment Specialist is responsible for processing, verifying and ... Strong analytical, organizational and problem solving skills. * Excellent written and verbal ...
The Provider Enrollment Supervisor is expected to provide guidance to employees by promoting ... Ability to understand, analyze and interpret complex documents * Excellent communication and ...
The Provider Enrollment Supervisor is expected to provide guidance to employees by promoting ... Ability to understand, analyze and interpret complex documents * Excellent communication and ...
Enrollment Analyst
Reno, NV · On-site
Prominence Health creates value for populations and providers to strengthen integrated partnership ... The enrollment analyst is responsible for handling all aspects of enrollment for all lines of ...
New
Enrollment Analyst
Reno, NV · On-site
Prominence Health creates value for populations and providers to strengthen integrated partnership ... The enrollment analyst is responsible for handling all aspects of enrollment for all lines of ...
New
Medicare & Medicaid Enrollment Analyst
$23 - $25/hr
Medicaid Provider & Group Enrollment * Submit revalidation Medicaid applications for both ... Strong organizational, analytical, and problem-solving skills. Preferred * Multi-state Medicare and ...
Medicare & Medicaid Enrollment Analyst
$23 - $25/hr
Medicaid Provider & Group Enrollment * Submit revalidation Medicaid applications for both ... Strong organizational, analytical, and problem-solving skills. Preferred * Multi-state Medicare and ...
Enrollment Analyst, Monday-Friday The Enrollment Analyst oversees the credentialing and payer ... One of the nation's largest and most respected providers of hospital and healthcare services ...
Enrollment Analyst, Monday-Friday The Enrollment Analyst oversees the credentialing and payer ... One of the nation's largest and most respected providers of hospital and healthcare services ...
Provider Enrollment Specialist
Chicago, IL · On-site
$60K - $75K/yr
About The Role The Provider Enrollment Specialist is responsible for processing, verifying and ... Strong analytical, organizational and problem solving skills. * Excellent written and verbal ...
Provider Enrollment Specialist
Chicago, IL · On-site
$60K - $75K/yr
About The Role The Provider Enrollment Specialist is responsible for processing, verifying and ... Strong analytical, organizational and problem solving skills. * Excellent written and verbal ...
We are presently seeking a second Credentialing & Provider Enrollment Specialist at GPHA ... Good computer and analytical skills. Good interpersonal and communication (both written and verbal ...
Quick apply
We are presently seeking a second Credentialing & Provider Enrollment Specialist at GPHA ... Good computer and analytical skills. Good interpersonal and communication (both written and verbal ...
Enrollment Analyst, Monday-Friday The Enrollment Analyst oversees the credentialing and payer ... One of the nation's largest and most respected providers of hospital and healthcare services ...
Enrollment Analyst, Monday-Friday The Enrollment Analyst oversees the credentialing and payer ... One of the nation's largest and most respected providers of hospital and healthcare services ...
ENROLLMENT ANALYST
Las Vegas, NV · On-site
Enrollment Analyst, Monday-Friday The Enrollment Analyst oversees the credentialing and payer ... One of the nation's largest and most respected providers of hospital and healthcare services ...
ENROLLMENT ANALYST
Las Vegas, NV · On-site
Enrollment Analyst, Monday-Friday The Enrollment Analyst oversees the credentialing and payer ... One of the nation's largest and most respected providers of hospital and healthcare services ...
Medicaid Provider & Group Enrollment * Submit revalidation Medicaid applications for both ... Strong organizational, analytical, and problem-solving skills. Preferred * Multi-state Medicare and ...
Medicaid Provider & Group Enrollment * Submit revalidation Medicaid applications for both ... Strong organizational, analytical, and problem-solving skills. Preferred * Multi-state Medicare and ...
Oversee all aspects of the provider enrollment process. * Monitors provider holds by prioritizing a ... Strong analytical and problem solving skills. * Excellent organizational, planning, and ...
Oversee all aspects of the provider enrollment process. * Monitors provider holds by prioritizing a ... Strong analytical and problem solving skills. * Excellent organizational, planning, and ...
Oversee all aspects of the provider enrollment process. * Monitors provider holds by prioritizing a ... Strong analytical and problem solving skills. * Excellent organizational, planning, and ...
Oversee all aspects of the provider enrollment process. * Monitors provider holds by prioritizing a ... Strong analytical and problem solving skills. * Excellent organizational, planning, and ...
When payor requirements change, must be able to analyze and compare processes in order to recommend ... Minimum 3 years of Provider Enrollment/Payor Credentialing experience required. Preferred Skills ...
When payor requirements change, must be able to analyze and compare processes in order to recommend ... Minimum 3 years of Provider Enrollment/Payor Credentialing experience required. Preferred Skills ...
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 ...
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 ...
Senior Provider Enrollment Specialist
Tulsa, OK · On-site +1
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 ...
Senior Provider Enrollment Specialist
Tulsa, OK · On-site +1
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 ...
Provider Enrollment Specialist I
Brewer, ME · On-site +1
$19.50 - $28.09/hr
The Provider Enrollment Specialist I is responsible for performing all provider and facility enrollment and re-credentialing activities required of all NLH contracted commercial and governmental ...
Provider Enrollment Specialist I
Brewer, ME · On-site +1
$19.50 - $28.09/hr
The Provider Enrollment Specialist I is responsible for performing all provider and facility enrollment and re-credentialing activities required of all NLH contracted commercial and governmental ...
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 ...
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 ...
Provider Enrollment Specialist II
Denver, CO · On-site
$24.33 - $34.06/hr
We are recruiting for a mission-driven Provider Enrollment Specialist II to join our team! We're ... interpreting, analyzing, and researching data (5%) * Proactively obtains updated provider ...
Provider Enrollment Specialist II
Denver, CO · On-site
$24.33 - $34.06/hr
We are recruiting for a mission-driven Provider Enrollment Specialist II to join our team! We're ... interpreting, analyzing, and researching data (5%) * Proactively obtains updated provider ...
Electronic Enrollment Analyst
Westborough, MA · On-site
$55K - $65K/yr
By investing in our team's growth and well-being, we ensure they are equipped to provide ... The Electronic Enrollment Analyst will implement scalable solutions that will ensure that HPI is ...
Quick apply
Electronic Enrollment Analyst
Westborough, MA · On-site
$55K - $65K/yr
By investing in our team's growth and well-being, we ensure they are equipped to provide ... The Electronic Enrollment Analyst will implement scalable solutions that will ensure that HPI is ...
Provider Enrollment Analyst information
See salary details
$13.94 - $15.97
1% of jobs
$15.97 - $18.01
15% of jobs
$18.97 is the 25th percentile. Wages below this are outliers.
$18.01 - $20.04
19% of jobs
The median wage is $21.94 / hr.
$20.04 - $22.07
16% of jobs
$22.07 - $24.10
18% of jobs
$25.22 is the 75th percentile. Wages above this are outliers.
$24.10 - $26.14
11% of jobs
$26.14 - $28.17
5% of jobs
$28.17 - $30.20
5% of jobs
$30.20 - $32.23
2% of jobs
$32.23 - $34.27
4% of jobs
$34.27 - $36.30
3% of jobs
$13
$23
$36
How much do provider enrollment analyst jobs pay per hour?
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?
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 cities are hiring for Provider Enrollment Analyst jobs?
Cities with the most Provider Enrollment Analyst job openings:
What are the most commonly searched types of Provider Enrollment Analyst jobs?
The most popular types of Provider Enrollment Analyst jobs are:
What states have the most Provider Enrollment Analyst jobs?
States with the most job openings for Provider Enrollment Analyst jobs include:
What job categories do people searching Provider Enrollment Analyst jobs look for?
The top searched job categories for Provider Enrollment Analyst jobs are:

Ventra Health rating
8.0
Based on 6 frontline employees who took The Breakroom Quiz
121st of 492 rated business services
Job description
Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.
Come Join Our Team!
- As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards
Help Us Grow Our Dream Team - Join Us, Refer a Friend, and Earn a Referral Bonus!
Job Summary
- The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. This position is responsible for researching, resolving, and enrolling any payer issues, utilizing a variety of proprietary and external tools. This will require contacting clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS) via phone, email, or website
Essential Functions and Tasks
- Performs follow-up with market locations to research and resolve payer enrollment issues
- Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone, email or website to resolve any Payer Enrollment issues
- Manages the completion and submission of CMS Medicare, State Medicaid and any other third-party payer applications
- Performs tracking and follow-up to ensure provider numbers are established and linked to the appropriate client group entity and proper software systems
- Maintains documentation and reporting regarding payer enrollments in process.
- Retains records related to completed CMS applications
- Establishes close working relationships with Clients, Operations, and Revenue Cycle Management team
- Proactively obtains, tracks, and manages all payer revalidation dates for all assigned groups/providers as well as complete, submit, and track the required applications to maintain active enrollment and prevent deactivation
- Maintains provider demographics in all applicable enrollment systems
- Adds providers to all applicable systems and maintains information to ensure claims are held/released based on status of enrollment
- Performs special projects and other duties as assigned
Education and Experience Requirements
- Associate's degree (2 years), required and Bachelor's degree in any related field, preferred.
- At least one (1) year of provider enrollment experience preferred.
Knowledge, Skills, and Abilities
- Working knowledge of specific application requirements for Centers for Medicare & Medicaid Services (CMS), State Medicaid and all third-party payers including pre-requisites, forms required, form completion requirements, supporting documentation such as Drug Enforcement Agency Number (DEA), Curriculum Vitae (CV), and regulations.
- Working knowledge of physician HIPAA Privacy & Security policies and procedures
- Strong oral, written, and interpersonal communication skills
- Strong word processing, spreadsheet, database, and presentation software skills
- Strong detail orientation skills
- Strong analytical skills
- Strong decision-making skills
- Strong problem-solving skills
- Strong organizational skills
- Strong time management skills
- Ability to ensure the complex enrollment packages are complete and correct
- Ability to work cohesively in a team-oriented environment
- Ability to foster good working relationships with others both within and outside the organization
- Ability to work independently and require little supervision, to focus on and accomplish tasks
- Ability to maintain strict confidentiality with regards to protected provider and health information
- Ability to take initiative and effectively troubleshoot while focusing on innovative solutions
- Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately
- Ability to remain flexible and work within a collaborative and fast paced environment
- Ability to communicate with diverse personalities in a tactful, mature, and professional manner
Compensation
- Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons.
- This position is also eligible for a discretionary incentive bonus in accordance with company policies.
Ventra Health
Equal Employment Opportunity (Applicable only in the US)
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.
Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.
Solicitation of Payment
Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.
Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.
To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/.
Statement of Accessibility
Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.
About Ventra Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Dallas, TX, US
Year founded
2021