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Provider Enrollment Specialist Jobs (NOW HIRING)

Pediatrix

Provider Enrollment Specialist

Overview We have a Provider Enrollment Specialist career opportunity for an experienced professional to join our team at Pediatrix Medical Group. We are a national organization, and one of the nation ...

Pediatrix

Provider Enrollment Specialist

Overview We have a Provider Enrollment Specialist career opportunity for an experienced professional to join our team at Pediatrix Medical Group. We are a national organization, and one of the nation ...

XIFIN

Provider Enrollment Specialist

Charleston, SC · On-site

$23 - $29/hr

Provider Enrollment Specialist Are you interested in harnessing technology and AI to transform healthcare? At XiFin , we believe a healthier, more efficient healthcare system starts with strong ...

Infinx Healthcare

Provider Enrollment Specialist

$22 - $26/hr

The Provider Enrollment Specialist will be responsible for coordinating the requests for participation in health insurance network as a medical provider, monitoring, and maintaining the provider ...

GDIT

Provider Enrollment Specialist

Bossier City, LA · Hybrid

$20.98 - $24.15/hr

No As a Provider Enrollment Specialist, you will be responsible for coordinating and managing the enrollment and credentialing process for healthcare providers. Your primary goal is to ensure that ...

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How much do provider enrollment specialist jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for provider enrollment specialist 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 a provider enrollment specialist?

Provider Enrollment Specialists are professionals who handle the process of enrolling healthcare providers with insurance companies, Medicare, and Medicaid. They ensure that providers are properly credentialed and authorized to deliver services and receive reimbursements from payers. Their responsibilities include completing applications, verifying credentials, tracking enrollment status, and maintaining accurate records. These specialists play a critical role in making sure healthcare organizations can offer services and receive payment efficiently.

What does a provider enrollment specialist do?

A provider enrollment specialist works at a doctor’s office or medical facility, such as a hospital, and is responsible for determining whether or not a patient is eligible for health care services. As a provider enrollment specialist, you have the skills and qualifications required to evaluate customer insurance to determine possible treatment options. Your other duties include making suggestions for different treatment programs based on the patient’s insurance coverage and obtaining patient records. To succeed in this career, you need job experience in a health care setting and knowledge of medical terminology. Some employers may require advanced education or nursing certification.

What are the key skills and qualifications needed to thrive as a provider enrollment specialist, and why are they important?

To thrive as a Provider Enrollment Specialist, you need a thorough understanding of healthcare regulations, credentialing processes, and insurance requirements, often supported by experience in healthcare administration or related certifications. Familiarity with provider enrollment software, credentialing databases, and systems like CAQH and Medicare/Medicaid portals is essential. Attention to detail, strong organizational skills, and effective communication are critical soft skills for managing complex documentation and coordinating with providers and payers. These abilities ensure timely and accurate provider onboarding, compliance with regulations, and efficient reimbursement processes.

What are some common challenges faced by provider enrollment specialists when working with healthcare payers?

Provider Enrollment Specialists often encounter challenges such as navigating varying requirements and documentation standards among different healthcare payers, which can lead to delays in processing enrollments. Keeping up with frequent regulatory updates and payer-specific policy changes also requires close attention to detail and ongoing education. Additionally, coordinating between providers, credentialing teams, and insurance companies to resolve discrepancies or incomplete applications is a common part of the role, requiring strong communication and problem-solving skills.

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

AspectProvider Enrollment SpecialistBilling Specialist
CredentialsTypically requires healthcare or insurance-related certificationsOften requires billing or coding certifications
Work EnvironmentHealthcare facilities, insurance companies, government agenciesMedical offices, hospitals, billing companies
Employer & IndustryHealthcare providers, insurance companies, government programsMedical practices, hospitals, billing firms
Search & Comparison IntentUnderstanding roles related to provider credentialing and enrollmentUnderstanding medical billing and reimbursement processes

The Provider Enrollment Specialist focuses on enrolling healthcare providers with insurance plans and government programs, ensuring compliance and credentialing. In contrast, a Billing Specialist handles medical billing, coding, and reimbursement processes. While both roles support healthcare operations, they differ in responsibilities, certifications, and daily tasks.

How do you become a provider enrollment specialist?

To become a provider enrollment specialist, candidates typically need a high school diploma or equivalent, along with experience in healthcare administration or insurance billing. Familiarity with provider enrollment processes, knowledge of healthcare regulations, and proficiency with enrollment systems like PECOS or CAQH are also important. Some roles may require certification or training in healthcare compliance or billing procedures.
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For Provider Enrollment Specialist jobs, the most frequently searched job titles are:

Provider Enrollment Specialist jobs near you
Infographic showing various Provider Enrollment Specialist job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 76% Full Time, 16% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $47,922 per year, or $23 per hour.

Provider Enrollment Specialist

Wichita, KS • On-site

Medical Provider Resources, Inc.
Health Care and Social Assistance • 11 - 50 employees
Learn more about Medical Provider Resources, Inc.external

Full-time

PTO

Posted 6 days ago

Job description

Come join our GROWING TEAM! We are currently hiring additional team members!

Work Location: in person only in Wichita, KS or Kansas City, MO

You’ll join a team that values your ideas, invests in your growth, and believes you shouldn’t have to choose between doing excellent work and having a life outside of work. Benefits include:

  • 28 days of PTO/holidays/mental health/volunteer time in the first full calendar year

  • Growth Opportunities

  • Cross-training

  • Career Development Program

  • Team Member Appreciation

  • Flexible Schedules

MINIMUM REQUIREMENTS

Competency

  • Knowledge of payer enrollment processes and requirements, including PECOS and CAQH.

  • Strong attention to detail, organizational skills, and the ability to manage multiple tasks in a fast-paced environment.

  • Demonstrate accuracy, organizational and problem-solving skills.

  • Excellent verbal and written communication skills.

  • Ability to work independently.

  • Maintains confidentiality.

Required Education and Experience (Provider Enrollment Specialist II)

  • 3+ years of Provider Enrollment Experience preferred.

  • Must be working toward PE Certification.

  • Experience with CAQH and PECOS.

  • Proficient in Microsoft 365.

  • Familiar with Internet.

  • Excellent written and verbal communication skills.

  • Experience with credentialing software.

Preferred Education and Experience (Provider Enrollment Specialist III)

  • Relevant education and certification a plus.

  • 5+ years of experience preferred.

MAIN DUTIES

  • Enroll medical providers in health plans.

  • Coordinates credentialing data needed for enrollment, contracting, and other related purposes.

  • Creation and maintenance of CAQH Application.

  • Ongoing monitoring and support of provider documentation including Kansas State or Other State Licensure, DEA, NPI, Certificate of Insurance and other documents as required by the regulatory agencies.

  • Complete Third-Party Payer Applications.

  • The ability to work with diverse internal and external customers.

  • Terminating providers with current practice from the request of the client.

Wage amount will commensurate with experience.