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Provider Enrollment Manager Jobs (NOW HIRING)

XIFIN

Provider Enrollment Specialist

Dallas, TX · On-site +1

$20 - $24/hr

This role supports the organization by managing the provider enrollment process from application through approval, maintaining accurate provider records, and ensuring compliance with payer and ...

MyMichigan Health

Provider Enrollment Coord

Midland, MI · On-site

Communicates with payers, providers, Practice Managers, Physician Recruitment and Administration on issues and progress of enrollment activities. The timeliness and quality of the enrollment process ...

XIFIN

Provider Enrollment Specialist

Charleston, SC · On-site +1

$20 - $24/hr

This role supports the organization by managing the provider enrollment process from application through approval, maintaining accurate provider records, and ensuring compliance with payer and ...

PHI Health

Provider Enrollment Specialist

Tempe, AZ · On-site

Communicate to management all changes in Medicare/ Medicaid/Tricare/HIS and all other federal payer ... Previous provider enrollment experience required. * Knowledge of general office procedures and ...

Shriners Children's

Manages the completion and submission of provider applications for enrollment in all commercial insurance and Medicaid Managed Care plans for multiple locations in the SC system. Tracks and maintains ...

NOCD

Provider Enrollment Specialist

Chicago, IL · On-site

Coordinate and manage provider enrollment, revalidation, roster management, and demographic maintenance for both delegated and non-delegated agreements behavioral health professionals (LPCs, LMFTs ...

TEKsystems

Provider Enrollment Analyst

Indianapolis, IN · Remote

$18/hr

Manage the full provider enrollment lifecycle with government and commercial payers (e.g., Medicare, Medicaid, and private insurers) * Prepare, submit, and track high-volume enrollment applications ...

PHI Health

Provider Enrollment Specialist

Tempe, AZ · On-site

Communicate to management all changes in Medicare/ Medicaid/Tricare/HIS and all other federal payer ... Previous provider enrollment experience required. * Knowledge of general office procedures and ...

NOCD

Provider Enrollment Specialist

Chicago, IL · Hybrid

Coordinate and manage provider enrollment, revalidation, roster management, and demographic maintenance for both delegated and non-delegated agreements behavioral health professionals (LPCs, LMFTs ...

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Provider Enrollment Manager information

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$35.5K

$86.4K

$117K

How much do provider enrollment manager jobs pay per year?

As of Jun 9, 2026, the average yearly pay for provider enrollment manager in the United States is $86,379.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,000.00 and $116,500.00 per year, depending on experience, location, and employer.

What is a Provider Enrollment Manager?

A Provider Enrollment Manager is responsible for overseeing the process by which healthcare providers become authorized to bill insurance companies, Medicare, or Medicaid for their services. They manage applications, verify credentials, and ensure compliance with regulations to maintain active provider statuses. Their role is crucial in minimizing delays in reimbursement and avoiding compliance issues for healthcare organizations. Provider Enrollment Managers typically work in hospitals, healthcare systems, or insurance companies, and they often supervise a team that handles provider credentialing and enrollment tasks.

What are the key skills and qualifications needed to thrive as a Provider Enrollment Manager, and why are they important?

To thrive as a Provider Enrollment Manager, you need expertise in healthcare regulations, credentialing processes, and provider data management, typically supported by a degree in healthcare administration or a related field. Familiarity with enrollment software, credentialing databases, and compliance tracking systems is essential. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing complex documentation and liaising with multiple stakeholders. These capabilities ensure timely and accurate provider enrollments, regulatory compliance, and efficient healthcare operations.

What is the difference between Provider Enrollment Manager vs Provider Relations Specialist?

AspectProvider Enrollment ManagerProvider Relations Specialist
CredentialsTypically requires healthcare administration, insurance, or related certificationsOften requires customer service, healthcare, or administrative certifications
Work EnvironmentOffice-based, focused on enrollment processes and complianceOffice or hospital-based, focused on communication and relationship building
Employer & Industry UsageHealth insurance companies, healthcare providers, government programsHospitals, clinics, healthcare networks, insurance companies
Search & Comparison IntentUnderstanding enrollment processes, credentialing, and complianceBuilding provider relationships, resolving provider issues

The Provider Enrollment Manager primarily handles provider credentialing, enrollment, and compliance with insurance plans, ensuring providers are properly registered. In contrast, the Provider Relations Specialist focuses on maintaining positive relationships with providers, addressing their concerns, and facilitating communication. Both roles are essential in healthcare administration but serve different functions within the provider network.

What are some common challenges faced by Provider Enrollment Managers, and how can they be effectively addressed?

Provider Enrollment Managers often encounter challenges such as navigating complex payer requirements, managing high volumes of applications, and ensuring timely credentialing to prevent delays in provider onboarding. Staying organized, maintaining clear communication with payers and internal teams, and utilizing enrollment management software can help mitigate these challenges. Building strong relationships with both providers and insurance representatives also facilitates smoother processes and quicker resolution of issues.
What cities are hiring for Provider Enrollment Manager jobs? Cities with the most Provider Enrollment Manager job openings:
What are the most commonly searched types of Provider Enrollment jobs? The most popular types of Provider Enrollment jobs are:
What states have the most Provider Enrollment Manager jobs? States with the most job openings for Provider Enrollment Manager jobs include:
Provider Enrollment Manager jobs near you
Provider Enrollment Specialist

Provider Enrollment Specialist

American Vision Partners

Tempe, AZ

Other

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago

American Vision Partners rating

6.6

Company rating: 6.6 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

Job description

Provider Enrollment Specialist

At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation's largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers.At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees!

Overview

THIS IS AN IN-OFFICE POSITION BASED IN TEMPE, AZ MONDAY THROUGH FRIDAY. THIS IS NOT A REMOTE POSITION. As a Provider Enrollment Specialist, you'll be responsible for assisting with the administration of the provider enrollment process for assigned new and existing providers. You'll also be responsible for assisting in obtaining and maintaining information essential to complete the credentialing/re-credentialing process.

Responsibilities
  • Prepares and submits enrollment applications for practitioners/group practices and facilities
  • Initiates and manages new enrollments until providers are enrolled with all assigned payers
  • Follows up on the status of enrollment applications as well as maintaining all updated needed using Smart Sheets
  • Using Smart Sheets, keeps detailed log of all pending and completed tasks
  • Maintains/Updates/Communicates enrollment status reports and updates on regular basis
  • Maintains/updates Wybtrak/CAQH and other provider portals on regular basis
  • Maintains managed care insurance paperless files for assigned practitioners
  • Frequently contacts practitioners, insurance representatives and other provider staff for compilation of provider data
  • Complies with NCQA, Medicare and Medicaid standards, department procedures and guidelines
  • Maintains strict confidentiality, adheres to all HIPAA Guidelines/Regulations
  • Familiar with Medicare, Medicaid, commercial fee schedules; assist Director in updating fee schedules for updates to Next Gen EPM
  • Works effectively and proactively to resolve issues
  • Performs all other duties as assigned
Qualifications
  • High School Diploma or equivalent
  • Associate's Degree preferred or - 2 years of office business experience in lieu of Associate Degree
  • REQUIRED: 1– 3 years experience in Provider Enrollment - Specifically in HEALTHCARE
  • Provider Enrollment Specialist Certificate (PESC) preferred
  • Must have working knowledge in Managed Care and/or Network Management
  • Proficiency in MS applications including and not limited to credentialing database software
  • Strong organizational skills and ability to pay attention to detail
  • Excellent communication skills and problem solving abilities within a team environment
  • Ability to work independently and prioritize assigned duties within given time frames
  • Ability to establish and maintain effective working relationships with insurance representatives, providers and coworkers
Benefits & Perks

Your health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!

What American Vision Partners employees say

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