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Provider Enrollment Jobs (NOW HIRING)

SCP Health

Provider Enrollment Specialist

Process and maintain provider applications for enrollment and re-enrollment for Medicare, Medicaid, BCBS and/or Commercial payors in accordance with Federal and State guidelines. * Prioritize and ...

SCP Health

Provider Enrollment Specialist

Process and maintain provider applications for enrollment and re-enrollment for Medicare, Medicaid, BCBS and/or Commercial payors in accordance with Federal and State guidelines. * Prioritize and ...

MDVIP

Provider Enrollment Manager

Boca Raton, FL · On-site

The Provider Enrollment Manager partners closely with internal leadership to manage high-impact, complex credentialing and enrollment matters, providing expert consultation that may influence ...

Boston Childrens Hospital

$125K - $200K/yr

Job Posting Description Position Summary The Director of Provider Enrollment provides strategic and operational leadership for provider and facility enrollment across Boston Children's Hospital, the ...

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Provider Enrollment information

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How much do provider enrollment jobs pay per hour?

As of Sep 13, 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 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.

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:

What are popular job titles related to Provider Enrollment jobs?

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

Provider Enrollment jobs near you
Infographic showing various Provider Enrollment job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 78% Full Time, 15% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $47,922 per year, or $23 per hour.

Provider Enrollment Specialist

Memphis, TN

LifeLinc Anesthesia
See more jobs at LifeLinc Anesthesiaexternal

Full-time

Re-posted 6 days ago

Job description

SUMMARY
Under general supervision, the Enrollment Specialist is responsible for a variety of tasks relating to healthcare provider enrollment. The Enrollment Specialist contacts providers along with government and commercial payers to complete the enrollment process and maintain the status logs of applications.  Additionally, the enrollment specialist communicates with the billing department to resolve provider enrollment items.
EDUCATION AND EXPERIENCE

High school diploma or equivalent required

Two years of college experience preferred (emphasis on Business Administration or Healthcare Management) OR three to five years of enrollment experience

CHARACTERISTIC JOB TASKS AND RESPONSIBILITIES
May include any and/or all of the following:

  • Complete and maintain ALL provider enrollment applications (government and commercial)
  • Strong follow up with submitted applications for all payors
  • Have knowledge of provider enrollment processes across several states, primarily AR, CO, DE, GA, KY, MD, MI, MS, NV, OH, TN and TX
  • Interact professionally with providers and ancillary staff to provide appropriate and timely responses
  • Work closely with billing team to identify and resolve enrollment billing issues
  • Provide routine and thorough enrollment updates to the billing team to identity and resolve enrollment billing issues in a timely manner.
  • Completes all enrollment requirements within 90 to 120 days from the time a provider’s credentialing/enrollment applications are received unless otherwise notated.
  • Can navigate Verity to load, run bolt reports and create forms on provider data.
  • Maintain providers in Avid and the hold queue to release all holds for providers as approved by payers and make sure that claims have been filed once hold has been released.
  • Interact with payers to research, request and obtain initial payer contracts for enrollment.
  • Ability to work in a fast-paced environment

KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS

  • Excellent organizational skills and attention to detail.
  • Ability to think strategically and prioritize the day-to-day tasks in an efficient manner 
  • Ability to maintain a high level of confidentiality
  • Display a sense of motivation and initiative in all assigned duties and tasks

COMMUNICATION

  • Interact effectively with the LifeLinc team, management, colleagues, physicians, and other health care professionals
  • Work with coworkers to obtain required information on a timely basis and to solve outstanding issues, as needed.
  • Promote and contribute positively to the teamwork of the department by assisting coworkers, contributing ideas and problem-solving with colleagues
  • Any other duties as assigned

COMPUTER SKILLS

  • To perform this job successfully, an individual should have general computer literacy skills and knowledge of Microsoft Office applications.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit; use hands to type and use a computer mouse; and talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

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