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Provider Enrollment Jobs in Rhode Island (NOW HIRING)

Amicis Global

Enrolment Coordinator

Cumberland, RI · On-site

$22 - $24/hr

This specific position will primarily focus on behavioral health provider enrollment. The primary responsibility of the position are: * Timely completion of Government, Commercial enrollment ...

Comprehensive Practice Managem

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Medical Credentialing Specialist

Smithfield, RI · On-site

$19 - $21/hr

This position is primarily responsible for processing provider enrollment applications with insurance carriers nationwide. For providers who are already credentialed, responsibilities include ...

Comprehensive Practice Managem

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Medical Credentialing Specialist

Smithfield, RI · On-site

$19 - $21/hr

This position is primarily responsible for processing provider enrollment applications with insurance carriers nationwide. For providers who are already credentialed, responsibilities include ...

Conflux Systems

*Coordinator III

Cumberland, RI · On-site

$24.99/hr

Provide quality control for timely and accurate individual enrollment applications submitted for Medicare and Medicaid programs. * Resolve claims issues for individual payers in corporate billing ...

Gentiva

Medical Director

Warwick, RI · On-site

$150 - $200/hr

Current Medicare Provider Enrollment (PECOS) and Medicaid certification if required. * Ability to travel 15‑25% based on program needs. * CPR and TB clearance required. Specialized Knowledge and ...

RI Council 94

IMPLMNT DIR-POLICY & PROGRAMS

Providence, RI · On-site

$114 - $131/hr

This position will conduct audits of internal enrollment files as well as provider audits to ensure compliance with state and federal requirements. This position will also assist with representing ...

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All JobsProvider Enrollment JobsProvider Enrollment Jobs in Rhode Island

Provider Enrollment information

See Rhode Island salary details

$11

$22

$39

How much do provider enrollment jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for provider enrollment in Rhode Island is $22.56, according to ZipRecruiter salary data. Most workers in this role earn between $17.64 and $24.23 per hour, depending on experience, location, and employer.

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 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 are the most commonly searched types of Provider Enrollment jobs in Rhode Island?

The most popular types of Provider Enrollment jobs in Rhode Island are:

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

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

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

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

Provider Enrollment jobs near you
Infographic showing various Provider Enrollment job openings in Rhode Island as of August 2026, with employment types broken down into 2% As Needed, 82% Full Time, 11% Part Time, and 5% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $46,931 per year, or $22.6 per hour.

Enrollment Coordinator - Cumberland, RI 02864

Cumberland, RI • On-site

Amicis Global
See more jobs at Amicis Globalexternal

$23 - $25/hr

Contractor

Re-posted 15 days ago

Job description

Job Title: Enrollment Coordinator
Job Location: Cumberland, RI 02864
Job Duration: 6 Months with possible extension
 
Kindly send me your most updated resume
 
Position Summary:
  • This position reports to the Sr. Manager of the Payer Enrollment Dept.
  • This role is crucial for guiding the company toward scalable solutions that delight our patients and clients while enabling business growth.
  • This specific position will primarily focus on behavioral health provider enrollment.

The primary responsibility of the position are:
  • Timely completion of Government and Commercial enrollment applications for behavioral health providers and groups.
  • Develop working knowledge of behavioral health payor policies for multiple states.
  • Consistently document work assignment progress, enrollment follow -up status, and relevant in-process tasks within the specified systems and time frames
  • Update and maintain all necessary government credentialing and revalidations for all providers. Interact with providers via phone or email as needed.
  • Ability to proficiently communicate and collaborate with Regional Directors, Credentialing team, AR partners to resolve provider denials credentialing related claims issues
  • Work with the Manager of Provider Enrollment when changes are needed for the procedure manual to ensure all payor enrollment processes are documented accurately and effectively.
  • Responsible for all aspects of user online access (i.e Web portals)
  • Attend conference calls with the client and/or team meetings as requested

Key Responsibilities:
  • Submit initial and revalidation applications for providers entering MinuteClinics
  • Handle government and commercial payer enrollment
  • Manage mail-based documentation and workflows

Ideal Candidate Profile:
Experience:
  • Preferred: 1–2 years of experience with government payers (Medicare/Medicaid)
  • Not required: Candidates without direct experience will be considered if they show willingness to learn
  • Insurance experience is considered a strong transferable skill

Soft Skills:
  • Reliable and consistent attendance
  • Willingness to work on-site
  • Strong communication and organizational skills

Interview & Logistics:
  • Interview Format: Microsoft Teams (virtual)
  • Interview Timeline: 1–2 business days after resume review
  • Rounds: Single interview round
  • Pre-Screening: Required; candidates should note any relevant experience or lack thereof clearly