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Provider Enrollment Jobs in California (NOW HIRING)

Mt. San Jacinto College

Dual Enrollment (Art)

CA · On-site

Dual Enrollment applicants must be actively teaching at a Partnering School District ESSENTIAL ... Provide instruction that includes lecture and/or laboratory classes in assigned course * Inform ...

Mt. San Jacinto College

Dual Enrollment (Economics)

CA · On-site

Dual Enrollment applicants must be actively teaching at a Partnering School District ESSENTIAL ... Provide instruction that includes lecture and/or laboratory classes in assigned course * Inform ...

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All JobsProvider Enrollment JobsProvider Enrollment Jobs in California

Provider Enrollment information

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$11

$22

$39

How much do provider enrollment jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for provider enrollment in California is $22.74, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $24.42 per hour, depending on experience, location, and employer.

What is the difference between Provider Enrollment vs Provider Credentialing?

AspectProvider EnrollmentProvider Credentialing
Required CredentialsLicenses, certifications, provider numbersLicenses, certifications, education verification
Work EnvironmentHealthcare administration, insurance companiesHealthcare facilities, insurance panels
Employer & Industry UsageInsurance plans, government programsHospitals, clinics, insurance panels
Search & Comparison IntentHow to enroll as a providerHow to verify provider qualifications

Provider Enrollment involves registering with insurance companies and government programs to become an approved healthcare provider. Provider Credentialing focuses on verifying a provider's qualifications, licenses, and certifications to ensure they meet industry standards. While both are essential for practicing in healthcare, enrollment is about gaining access, and credentialing is about verifying qualifications.

What is provider enrollment?

Provider enrollment is the process by which healthcare professionals and organizations apply to participate in health insurance networks, including Medicare, Medicaid, and private insurance plans. This involves submitting detailed information about credentials, licenses, and practice details to insurance payers for approval. Successful enrollment allows providers to bill insurance companies and receive reimbursement for services rendered to insured patients. The process ensures that only qualified and authorized providers deliver care to covered individuals.

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

To thrive as a Provider Enrollment Specialist, you need strong organizational skills, attention to detail, and knowledge of healthcare regulations, often supported by a background in healthcare administration or a related field. Familiarity with provider enrollment software, credentialing databases, and proficiency in using systems like CAQH and Medicare/Medicaid portals are typically required. Excellent communication, problem-solving abilities, and the capacity to manage multiple tasks efficiently are vital soft skills for this role. These competencies ensure timely and accurate provider onboarding, compliance with regulatory requirements, and effective coordination between healthcare providers and payers.

What are some typical challenges faced in a provider enrollment role, and how can they be managed effectively?

Professionals in Provider Enrollment often encounter challenges such as navigating complex and varying payer requirements, handling time-sensitive documentation, and managing communication between providers and insurance companies. Staying organized and proactive in tracking application statuses, maintaining up-to-date knowledge of payer guidelines, and fostering strong relationships with both internal teams and external contacts are key strategies for overcoming these hurdles. Using workflow management tools and regularly attending industry training can also help streamline the enrollment process and reduce delays.

What are the most commonly searched types of Provider Enrollment jobs in California?

The most popular types of Provider Enrollment jobs in California are:

What are popular job titles related to Provider Enrollment jobs in California?

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

What job categories do people searching Provider Enrollment jobs in California look for?

The top searched job categories for Provider Enrollment jobs in California are:

What cities in California are hiring for Provider Enrollment jobs?

Cities in California with the most Provider Enrollment job openings:

Provider Enrollment jobs near you
Infographic showing various Provider Enrollment job openings in California as of August 2026, with employment types broken down into 2% As Needed, 77% Full Time, 14% Part Time, 2% Temporary, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $47,295 per year, or $22.7 per hour.

Provider Enrollment Specialist

American Advanced Management

Salida, CA • On-site

$22 - $26/hr

Other

Re-posted 20 days ago

Job description

The Provider Enrollment Specialist role involves managing the administrative process of getting healthcare providers credentialed with insurance companies and government payers like Medicare and Medicaid. Key duties include preparing and submitting applications, tracking their status, maintaining accurate provider records, ensuring compliance with regulations, and following up with providers and payers to resolve issues.
JOB DUTIES

  • Prepare and submit enrollment applications and supporting documents for new and existing providers.
  • Maintain and update provider information in databases and systems, ensuring accuracy of details like licenses, certifications, and addresses.
  • Verify provider credentials and ensure all paperwork meets the requirements of various health plans and government payers.
  • Act as a liaison by responding to inquiries from providers and payers, and follow up to expedite the enrollment and re-enrollment process.
  • Research and resolve issues that delay enrollment, such as missing information on applications.
  • Organize and maintain files for all provider enrollments and other related documentation.

Requirements
The Provider Enrollment Specialist will possess a strong understanding of healthcare regulations, payer requirements, and provider enrollment processes, along with familiarity with medical terminology and basic billing practices. Technical proficiency is essential, including experience with provider enrollment software, credentialing databases such as CAQH, and common office applications like Word and Excel. Success in this role requires excellent attention to detail, strong organizational skills, and effective communication to manage complex documentation and coordinate with multiple stakeholders. Prior experience in a healthcare setting with at least three (3) to five (5) years of experience is preferred, particularly in credentialing, managed care, or claims processing.
Salary Description
$22.00 -$26.00

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