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Provider Enrollment Jobs (NOW HIRING)

Provider Enrollment Specialist Company Overview ADOCS Dermatology Group is one of the largest and most established dermatology practices in the nation. With more than 200 providers within 80 ...

Summary Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance ...

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Provider Enrollment information

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$12

$23

$39

How much do provider enrollment jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for provider enrollment 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 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, and why are they important?

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.
More about Provider Enrollment jobs
What cities are hiring for Provider Enrollment jobs? Cities with the most Provider Enrollment 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 jobs? States with the most job openings for Provider Enrollment jobs include:
Infographic showing various Provider Enrollment job openings in the United States as of May 2026, with employment types broken down into 2% Locum Tenens, 2% As Needed, 77% Full Time, 15% Part Time, and 4% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $47,922 per year, or $23 per hour.

Provider Enrollment Specialist

The Aspen Group

East Syracuse, NY โ€ข On-site, Remote

$24 - $26/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 11 days ago


Job description

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and wellness offices across 47 states in three distinct categories: Dental care, urgent care, and medical aesthetics. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Lovet Pet Health Care and Chapter Aesthetic Studio. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.

As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as a Provider Enrollment Specialist, which will be based remotely.

The Provider Enrollment Specialist plays a vital role within our Payor Strategy team.This position is responsible for managing and maintaining the enrollment and credentialing for Aspen Dental providers with insurance payers and assigned dental plans.This role ensures timely and accurate submission of provider applications, updates and recredentialing to facilitate uninterrupted billing, reimbursement and patient care. The successful candidate will report to the Enrollment Manager.

Key Responsibilities:

  • Prepare, submit and track payer enrollment applications for new providers and existing provider changes.

  • Maintain accurate records of all enrollment activities in the credentialing system.

  • Communicate with insurance companies, healthcare providers and internal departments to ensure applications are processed efficiently.

  • Monitor enrollment status and follow up with payers to resolve delays or issues.

  • Update provider demographic and practice information with all contract payers as needed.

  • Ensure recredentialing timelines and requirements are maintained so providers enrollment status remains intact with no lapses.

  • Work closely with Field Support, Operations, Revenue Cycle Management (RCM) team to resolve any escalated enrollment or credentialing issues in a timely manner.

  • Research and resolve out of network claims issues by investigating provider participation status and effective dates of enrollment.

  • Coordinate temporary provider enrollments and ensure all necessary documentation, linkage and payer updates are completed.

  • Collaborate closely with RCM on status of provider enrollments including providing reports submission as needed.

  • Generate and maintain enrollment status reports.

  • Support audits, and other duties as assigned.

Qualifications:

  • High school diploma or equivalent required, associate or Bachelor's degree preferred.

  • 1- 3 years of experience in payor enrollment.

  • Working knowledge of commercial payors and government payor requirements.

  • Proficient in Microsoft office and credentialing software including but not limited to CAQH, Availity.

  • Strong attention to detail, organization and follow up skills.

  • Excellent communication and customer service abilities interacting with internal teammates and external clients.

  • Detail oriented, with strong level of analytical and problem-solving skills.

Preferred Skills:

  • Experience in working with multi-specialty large group practices; dentistry is a plus.

  • Knowledge of revenue cycle and billing processes.

  • Familiarity with NPI and file provider management.


  • Base Pay Range: $24.00-26.00 per hour (Actual pay may vary based on experience, performance, and qualifications.)

  • A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match.

  • If you are an applicant residing in California, please view our privacy policy here:https://careers.aspendental.com/us/en/tag-privacy-policy-for-california-employees

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