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Provider Enrollment Jobs (NOW HIRING)

Geode Health

Provider Enrollment Associate

$23 - $25/hr

The Provider Enrollment Associate must be able to effectively communicate with providers and other internal/external customers. Estimated Pay Range: $23 - 25/hour Job Responsibilities: * Act as a ...

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Fabric Health

Provider Enrollment Specialist

$22 - $35/hr

As a Provider Enrollment Specialist, you will step in for a focused, six-month contract to clear existing enrollment backlogs and streamline our payer application workflows. You will own the end-to ...

Saviance

Provider Enrollment Coordinator

Provider Enrollment Coordinator Under the supervision of the Associate Director of Medical Staff Office & Provider Enrollment, is responsible for the timely enrollment of all new and existing BMC ...

NOCD

Provider Enrollment Specialist

Chicago, IL · On-site

$60K - $75K/yr

About The Role The Provider Enrollment Specialist is responsible for processing, verifying and maintaining the enrollment of mental health therapists for managed care plans as well as Medicare and ...

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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.

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Cities with the most Provider Enrollment job openings:

What are the most commonly searched types of Provider Enrollment jobs?

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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 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $47,922 per year, or $23 per hour.

Provider Enrollment Specialist

Allentown, PA • On-site

St. Luke's Health Network, Inc.
See more jobs at St. Luke's Health Network, Inc.external

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Re-posted 3 days ago

St. Luke's University Health Network rating

7.0

Company rating: 7.0 out of 10

Based on 274 frontline employees who took The Breakroom Quiz

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Provider Enrollment Specialist ensures that initial and re-credentialing applications for St. Luke’s University Health Network (SLUHN) employed providers’ are submitted to identified third party and government health insurance carriers. Responsibilities also include maintaining membership and renewal information for professional and DEA licenses, board certification and professional organization memberships. JOB DUTIES AND RESPONSIBILITIES: Prepares provider enrollment applications and/or written link letters to be sent to payers Ensures all providers and groups are re-validated with payers on a timely basis by completing re-credentialing applications with current provider information and signatures. Makes and receives phone calls from providers and practice managers to help resolve payer issues and verify participating status. Updates & maintains database to show enrollment tracking, effective dates, provider numbers and correct provider demographics. Scans and files all paperwork and documents to a shared folder for tracking purposes and proof of submission to payers. Applies for New Jersey licensure for identified providers. Creates and submits new group enrollment applications for newly opened or moving practices. Fields and responds timely to inquiries from SLUHN departments to help resolve enrollment related issues. Ensures SLUHN billing department has resolution on enrollment issues that assist with claim processing. Identifies and communicates current or potential enrollment issues that could result in loss of revenue and/or patient dissatisfaction. Participates in team meetings and conference calls with payers. Completes online applications for Doing Business As (DBA) for new or renamed groups. Creates check requests for out-of-state enrollment fees. PHYSICAL AND SENSORY REQUIREMENTS: Requires sitting for up to eight hours per day, including extensive use of computer terminal and telephone. Requires hearing as it relates to normal conversation and answering questions in large groups. Requires seeing as it relates to general near and far vision. EDUCATION: High School Education TRAINING AND EXPERIENCE: Experience with personal computers and the Microsoft Office suite of products is required. Strong customer service skills. Excellent verbal and written communication skills. Detail and service oriented. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

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