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Provider Enrollment Jobs (NOW HIRING)

Ventra Health, Inc.

Provider Enrollment Specialist

The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. This position is responsible for researching ...

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Provider Enrollment information

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How much do provider enrollment jobs pay per hour?

As of Aug 23, 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 job categories do people searching Provider Enrollment jobs look for?

The top searched job categories for Provider Enrollment jobs are:

Provider Enrollment jobs near you
Infographic showing various Provider Enrollment job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 76% Full Time, 15% Part Time, and 6% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $47,922 per year, or $23 per hour.

Provider Enrollment Specialist

Utah Division of Human Resource Management

Salt Lake City, UT • On-site

$16.29 - $24/hr

Full-time, Part-time

Posted 6 days ago

Job description

Provider Enrollment Specialist
FT / PT Status - Full-Time
Salary - $16.29 - $24.00 Hourly Wage
Remote Work / In-Office - HybridRecruiter - Angie Rhodes arhodes@utah.gov
Application Deadline - 8/26/2026*
*This job posting may close at any time after the minimum advertising period of three (3) business days has passed, should a sufficient applicant pool be received. Applicants are encouraged to apply as early as possible.
Key Responsibilities
Seeking candidates who excel in providing exceptional customer service to individuals over-the-phone and enjoy working in a fast-paced call center environment.
The Claims Technician position has two primary functions, to answer incoming customer service calls from the medical community and public regarding provider enrollment credentialing, and other related information to enroll medical providers into the Medicaid system. The technician responds to phone, electronic, fax and mail inquiries regarding the status of provider applications, and explains and interprets Medicaid policies, guidelines, benefits and procedures regarding Medicaid.
The Claims Technician is required to be logged into the phone system for up to 7 hours/day and takes between 40 to 60 calls a day.
Preference may be given for the following:
  • Spanish speaking skills
  • prior professional working experience with provider enrollment or credentialing

Supplemental Information
  • Effective July 1, 2021, State of Utah Employees must either reside in Utah or be in the process of relocating to Utah within 30 days of their start date.
  • This position may currently be a hybrid of both in-office and remote work days. Please note, a position's eligibility for remote work is established by agency management and is subject to change at their discretion, at any time, and for any reason.
  • Risks found in the typical office setting, which is adequately lighted, heated and ventilated, e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.
  • Typically, the employee may sit comfortably to perform the work; however, there may be some walking; standing; bending; carrying light items; driving an automobile, etc. Special physical demands are not required to perform the work.

Qualifications
Minimum or "day-one" qualifications:
  • Answers customer service calls regarding provider enrollment applications, credentialing and validations from providers.
  • Enters, retrieves and/or corrects applications as needed in the PRISM system. Receives, researches and responds to incoming questions or complaints; provides information, explains policy and procedures, and/or facilitates a resolution.
  • Prepares supporting documentation for policy/procedure changes for policy review. Writes or drafts correspondence, reports, documents and/or other written materials.

About the Role
Location -
288 North 1460 West
Salt Lake City, Utah, 84116
United States
Background Check Required - You must successfully pass a criminal history check.
Drug Test Required - No
Schedule Code - TL - Time limited
Why You Should Join Our TeamIn Utah, we believe hard work is important, but balance is essential. Finding work/life balance is a vital element to our culture. To find out more about WHY Utah, click here. Other benefits may include:
  • Job Stability: Enjoy the security and reliability of employment within a well-established organization.
  • Career Growth: Develop valuable skills and gain opportunities for leadership within a large organization.
  • Meaningful Work: Contribute to an important service that benefits the community and supports organizational goals.
  • Supportive Work Environment: Be part of a team that values cooperation, strong work ethics, and mutual support.

The AgencyFor more information on the Division of Integrated Healthcare, please visit our website.
EEO StatementThe State of Utah is committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. For accommodations, please contact (801) 957-9390.

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