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Provider Enrollment Inspector Jobs (NOW HIRING)

Acceptable documentation includes a Tribal Enrollment card, a letter from your Tribe stating your ... Completes inspections of relative providers and childcare centers in accordance with policies ...

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Provider Enrollment Inspector information

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$12

$23

$39

How much do provider enrollment inspector jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for provider enrollment inspector in the United States is $23.04, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.76 per hour, depending on experience, location, and employer.

What is the difference between Provider Enrollment Inspector vs Provider Enrollment Specialist?

AspectProvider Enrollment InspectorProvider Enrollment Specialist
Required CredentialsTypically requires healthcare-related certifications or experience, knowledge of enrollment processesSimilar credentials, often with additional administrative or customer service training
Work EnvironmentGovernment agencies, healthcare organizations, regulatory bodiesHealthcare providers, insurance companies, administrative offices
Employer & Industry UsageUsed in regulatory and compliance roles within healthcare industryCommon in healthcare administration and provider onboarding
Search & Comparison IntentUnderstanding roles related to provider enrollment inspections and complianceLooking for roles focused on provider enrollment processes and support

While both roles involve provider enrollment, the Provider Enrollment Inspector primarily focuses on inspecting and ensuring compliance with enrollment standards, whereas the Provider Enrollment Specialist handles the onboarding and administrative support for providers. Both roles require healthcare knowledge and are vital in healthcare administration, but they differ in their specific responsibilities and focus areas.

How do you become a provider enrollment inspector?

To become a provider enrollment inspector, candidates typically need a background in healthcare administration, compliance, or related fields, along with knowledge of provider enrollment processes. Relevant experience in auditing, verification, or regulatory environments is often required, and some positions may require certification or training specific to the agency or organization overseeing provider enrollment.

How to become a provider enrollment inspector?

To become a provider enrollment inspector, candidates typically need a background in healthcare administration, compliance, or related fields, along with knowledge of provider enrollment processes. Relevant experience in auditing, verification, or regulatory environments is often required, and some positions may require certification or training specific to the agency or organization. Strong attention to detail and familiarity with healthcare regulations are essential for this role.

What cities are hiring for Provider Enrollment Inspector jobs?

Cities with the most Provider Enrollment Inspector job openings:

What states have the most Provider Enrollment Inspector jobs?

States with the most job openings for Provider Enrollment Inspector jobs include:

What are popular job titles related to Provider Enrollment Inspector jobs?

For Provider Enrollment Inspector jobs, the most frequently searched job titles are:

Infographic showing various Provider Enrollment Inspector job openings in the United States as of June 2026, with employment types broken down into 3% As Needed, 86% Full Time, 8% Part Time, and 3% Contract. Highlights an 44% Physical, and 56% Remote job distribution, with an average salary of $47,922 per year, or $23 per hour.

Provider Enrollment Specialist (Office Specialist UMP)

Springfield, IL • On-site

State of Illinois
Public Administration • 11 - 50 employees

$4.5K/mo

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago


State Of Illinois rating

8.0

Company rating: 8.0 out of 10

Based on 75 frontline employees who took The Breakroom Quiz


Job description

Job Requisition ID: 56371BPIS: 08574 08572 09060 08578 08576 08112 08575 08573
Opening Date: 09/03/2026Closing Date: 09/18/2026Agency: Department of Healthcare and Family ServicesClass Title: OFFICE SPECIALIST - 30080 Skill Option: UMP Certificate Bilingual Option: NoneSalary: Anticipated starting salary effective 7/1/26 - $4568/month ;Full range $4568-$6133/monthJob Type: SalariedCategory: Full Time County: SangamonNumber of Vacancies: 8Bargaining Unit Code: RC028 Paraprofessional Human Services Employees, AFSCMEMerit Comp Code:
This position is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position.
All applicants who want to be considered for this position MUST apply electronically through the illinois.jobs2web.com website. State of Illinois employees should click the link near the top left to apply through the SuccessFactors employee career portal.
Applications submitted via email or any paper manner (mail, fax, hand delivery) will not be considered.
Why Work for Illinois?
Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you're helping to improve schools, protect our natural resources, or support families in need, you're part of something bigger-something that touches the lives of every person who calls Illinois home.
No matter what state career you're looking for, we offer jobs that fit your life and your schedule-flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.
Position Overview:
The Department of Healthcare and Family Services, Provider Enrollment Unit is seeking to hire a motivated individual to join our team as a Provider Enrollment Specialist. This position will conduct complex, specialized duties to track, enter and review correspondence from medical stakeholders, partners and the public. Additionally, the position will review rejected claims from medical providers and Medicare crossover rejections. The ideal candidate will possess strong organizational, communication, personal relations and time management skills.
HFS values employees with different backgrounds, life experiences, and talents.
Employees receive a robust benefit package including:
  • Monday-Friday work schedule
  • Flexible work schedules are available in many program areas. (Remote work may be an option for certain positions.)
  • Health, Life, Vision, and Dental Insurance
  • Pension Plan
  • Paid Parental Leave
  • Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)
  • Employees earn (12) paid Sick Days annually.
  • New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually.
  • Employees earn (3) paid Personal Days annually.
  • (13-14) paid holidays annually (based on start date)

If you are seeking a new opportunity, and this position appeals to you, please apply today!
At the Illinois Department of Healthcare and Family Services (HFS), we value staff as our greatest asset. We work in a spirit of teamwork to help millions of Illinoisans access high quality healthcare and fulfill child support obligations to advance their physical, mental, and financial well-being. We provide healthcare coverage for children and adults through Medicaid and other medical programs, and we help ensure that children receive financial resources from both their parents through Child Support Services. The HFS Office of the Inspector General investigates, audits and reviews program activity to ensure the integrity of our programs is maintained.
HFS is committed to promoting and preserving a workplace culture that embraces diversity, equity, and inclusion. We welcome and value employees with different backgrounds, life experiences, and talents. It is the collective sum of our individual differences that provides a broad perspective, leading to greater innovation and achievement. In recruiting for our team, we recognize the unique contributions of each applicant regardless of culture, ethnicity, race, national origin, sex, gender identity and expression, age, religion, disability, and sexual orientation. HFS is an equal opportunity employer.
Essential Functions
  • Under general direction, serves as a Provider Enrollment Specialist by conducting complex, specialized technical duties in the automated procedures for tracking, entering and reviewing correspondence
  • Researches and identifies entry problems associated with medical providers rejected claims and Medicare crossover rejections from Medical Management Information Systems (MMIS)
  • Receives and reviews correspondence from medical providers to determine action for updating and correcting the Non-Institutional/Institutional Unit's applications
  • Receives, reviews and sort documents provided by medical providers for entry into the imaging application
  • Responds to inquiries from providers requesting information/application on becoming a provider in the Illinois Medical Assistance Program
  • Attends meetings
  • Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above

Minimum Qualifications
  • Requires knowledge, skill and mental development equivalent to two (2) years of secretarial/business college and one (1) year of office experience, or completion of high school and three (3) years office experience, or three (3) years of independent business experience
  • Qualifying state employees, in the employee Upward Mobility Program, may complete combinations of specific proficiency tests and training programs leading to a certificate of proficiency in lieu of the stated requirements for this classification

Conditions of Employment
  • Requires completion of a background check and self-disclosure of criminal history
  • Requires the ability to utilize and maintain state issued equipment such as a laptop
  • The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description

Work Hours: Monday - Friday 8:30am - 5:00pm
Headquarter Location: 201 S Grand Ave E, Springfield, Illinois, 62704
Work County: Sangamon
Agency Contact: HFS.DMPApps@illinois.gov
Posting Group: Office & Administrative Support
This title is within the Upward Mobility Program (UMP). General Program information can be found by clicking on the Upward Mobility Program link or for specific title information at UMP Titles. To utilize upward mobility contractual rights for this position, employees must apply internally and must upload a copy of the UMP grade notice to their application documents prior to submission. UMP grades can be uploaded to the Additional Documents OR Grade Documentation section of the application.
This position DOES NOT contain "Specialized Skills" (as that term is used in CBAs).
APPLICATION INSTRUCTIONS
Use the "Apply" button at the top right or bottom right of this posting to begin the application process.
If you are not already signed in, you will be prompted to do so.
State employees should sign in to the career portal for State of Illinois employees - a link is available at the top left of the Illinois.jobs2web.com homepage in the blue ribbon.
Non-State employees should log in on the using the "View Profile" link in the top right of the Illinois.jobs2web.com homepage in the blue ribbon. If you have never before signed in, you will be prompted to create an account.
If you have questions about how to apply, please see the following resources:
State employees: Log in to the career portal for State employees and review the Internal Candidate Application Job Aid
Non-State employees: on Illinois.jobs2web.com - click "Application Procedures" in the footer of every page of the website.
The main form of communication will be through email. Please check your "junk mail", "spam", or "other" folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses:
  • donotreply@SIL-P1.ns2cloud.com
  • systems@SIL-P1.ns2cloud.com

What State Of Illinois employees say

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State of Illinois logo

About State of Illinois

Sourced by ZipRecruiter

The State of Illinois is not a traditional company, but rather a governmental entity encompassing diverse agencies and departments that serve the constituents of Illinois. Based in Illinois, United States, this governmental body communicates with its citizens through the official website illinois.gov. The website is a one-stop resource for Illinois residents to access information about the state's services, including education, healthcare, transportation, and public safety, among others.

Industry

Public administration

Company size

11 - 50 Employees

Headquarters location

Springfield, IL, US

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