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Provider Enrollment Jobs (NOW HIRING)

Oversee all aspects of the provider enrollment process. * Monitors provider holds by prioritizing a focus on clients with large dollars impacted and get these resolved. * Effectively works with the ...

Job Purpose The Team Lead, Provider Enrollment is responsible for training and oversight of offshore team members and assisting the provider enrollment manager to ensure the credentialing/enrolling ...

Description The Provider Enrollment Specialist is responsible for requesting contracts and participation for providers in and with health plans to minimize the possibility of delay or non-payment of ...

We're seeking a remote Provider Enrollment Specialist to join us. This is a remote position. What you'll do: * Responsible for the timely completion of complex government and commercial payer ...

Provider Enrollment Specialist

Lawrence, MA ยท On-site

$25.03 - $37.55/hr

This role supports daily operations of provider enrollment, contracting, and ongoing administrative tasks. Reporting to the Executive Director of the Provider Network, this position will be working ...

Provider Enrollment Specialist

Lawrence, MA ยท On-site

$25.03 - $37.55/hr

This role supports daily operations of provider enrollment, contracting, and ongoing administrative tasks. Reporting to the Executive Director of the Provider Network, this position will be working ...

The Senior Provider Enrollment Specialist at A5 Services serves as a key leader in the credentialing and payer enrollment function for the Independent Physician Association (IPA). This advanced role ...

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Provider Enrollment information

See salary details

$12

$23

$39

How much do provider enrollment jobs pay per hour?

As of Jul 14, 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 July 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 52% Physical, and 48% Remote job distribution, with an average salary of $47,922 per year, or $23 per hour.
Provider Enrollment Specialist

Provider Enrollment Specialist

Community Health System

Fresno, CA โ€ข On-site

Other

Retirement, PTO

Posted 7 days ago


Job description

Overview

Opportunities for you!ย 

  • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweekย 
  • Tuition reimbursement, education programs, and scholarshipsย 
  • Vacation time starts building on Day 1, and builds with your seniorityย 
  • Free money toward retirement with a 403(b) and matching contributionsย 

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.ย 

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.ย 

ResponsibilitiesThe Provider Enrollment Specialist is responsible for coordinating all activities related to the enrollment of health care providers. This role assists with the completion of enrollment applications and revalidations, performs follow-up on enrollments, and maintains records. Additionally, the specialist conducts roster audits and plan validations, ensuring accurate provider information in the network. This position requires an extremely detail-oriented and resourceful individual who enjoys working with people and tackling new projects. This role will work within a highly collaborative team environment, effectively juggling multiple projects, ensuring follow-through, and protecting confidential information.QualificationsEducation High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate requiredย Experience 2 years of administrative, data entry, or relevant experience required Experience working with provider enrollment and/or credentialing preferredDisclaimers

Pay ranges listed are an estimate and subject to change. If any bonuses are noted, they are only applicable to external hires meeting criteria.

Employment Type: OTHER