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Remote Provider Enrollment Jobs in Raleigh, NC (NOW HIRING)

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Remote Sales Enrollment Specialist

Cary, NC · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...

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Remote Provider Enrollment information

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How much do remote provider enrollment jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for remote provider enrollment in Raleigh, NC is $22.40, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $24.09 per hour, depending on experience, location, and employer.

What is a Remote Provider Enrollment job?

A Remote Provider Enrollment job involves processing and managing healthcare provider enrollment with insurance networks, Medicare, Medicaid, and other payers. Responsibilities typically include completing applications, verifying credentials, maintaining provider records, and ensuring compliance with payer requirements. This role is performed remotely, utilizing online platforms and databases to submit and track enrollment statuses. Strong attention to detail, knowledge of billing practices, and communication skills are essential for success in this position.

What are the key skills and qualifications needed to thrive in the Remote Provider Enrollment position, and why are they important?

To thrive as a Remote Provider Enrollment specialist, you need strong attention to detail, understanding of healthcare regulations, and experience with credentialing and enrollment processes, often backed by a relevant associate or bachelor's degree. Familiarity with provider enrollment software (such as CAQH or Medicare PECOS), document management systems, and basic proficiency in Microsoft Office are typically required. Excellent organizational skills, proactive communication, and the ability to manage time independently make someone stand out in this remote position. These skills are essential to ensure accurate and timely provider onboarding, regulatory compliance, and effective collaboration with healthcare organizations and insurance payers.

What are some typical challenges faced by Remote Provider Enrollment specialists, and how are they addressed?

Remote Provider Enrollment specialists often encounter challenges such as keeping track of multiple provider applications, ensuring all documentation is accurate, and navigating changing payer requirements. Effective use of digital tracking tools and maintaining clear communication with both providers and insurance companies help address these issues. Many organizations offer thorough onboarding and ongoing support to ensure team members are up to date with the latest regulatory changes. Collaborating closely with credentialing teams and leveraging shared resources also helps manage workload and maintain compliance. While the role is detail-oriented, a supportive team environment makes it easier to overcome these common obstacles.

What are the most commonly searched types of Provider Enrollment jobs in Raleigh, NC? The most popular types of Provider Enrollment jobs in Raleigh, NC are:
What are popular job titles related to Remote Provider Enrollment jobs in Raleigh, NC? For Remote Provider Enrollment jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Provider Enrollment jobs in Raleigh, NC look for? The top searched job categories for Remote Provider Enrollment jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Provider Enrollment jobs? Cities near Raleigh, NC with the most Remote Provider Enrollment job openings:
Remote Provider Enrollment jobs near you
Provider Enrollment Operations Specialist

Provider Enrollment Operations Specialist

Affordable Care

Raleigh, NC • Remote

Other

Posted 19 days ago

Job description

Provider Enrollment Specialist

Position Summary

The Provider Enrollment Specialist is responsible for maintaining accurate, clean, and audit-ready data across all payer enrollment systems and workflows. This role supports the Credentialing and Payer Enrollment department and reports to the Credentialing Manager.

This position owns enrollment data from application through payer acceptance, ensuring work moves efficiently through the pipeline and to the payer. The ideal candidate is highly detail-oriented, process-driven, and experienced in provider enrollment, credentialing, payer portals, and data management.

Key Responsibilities

  • Maintain and audit Smartsheet reference tables, trackers, and reporting tools to ensure data accuracy.

  • Review payer rosters on a scheduled basis and resolve discrepancies, missing providers, or outdated information.

  • Maintain payer fee schedules, process fee update requests, and track effective dates.

  • Organize enrollment applications, mappings, and supporting documentation.

  • Manage application mapping and request new applications as needed.

  • Process non-par provider arrangements and requests through completion.

  • Process provider termination requests from payer panels, including effective dates, confirmations, and offboarding-related updates.

  • Track expiring provider credentials, licenses, and payer re-credentialing dates to support timely renewal and uninterrupted enrollment.

  • Identify and escalate data integrity issues that may impact billing, operations, or downstream workflows.

  • Provide additional team support as needed.

Performance Expectations

  • Keep Smartsheet data, rosters, fee schedules, and enrollment records accurate and audit-ready.

  • Process requests timely and accurately, including terminations, non-par requests, fee updates, and applications.

  • Independently identify, diagnose, and resolve issues while escalating key discrepancies promptly.

Qualifications

Education & Experience

  • Minimum 5 years of experience in provider enrollment, credentialing, or payer relations required.

  • Certified Provider Credentialing Specialist certification preferred.

Required Skills

  • Strong knowledge of payer enrollment processes, application types, and payer portal navigation.

  • Proven ability to maintain accurate data across multiple systems.

  • Ability to manage high-volume work while meeting deadlines.

  • Strong written and verbal communication skills.

  • Ability to work independently in a fully remote environment with minimal supervision.

Systems Experience

  • Smartsheet experience preferred, especially with reference tables and trackers.

  • Intermediate Microsoft Excel skills required, including filters, sorting, and basic formulas.

  • Adobe Acrobat experience required.

  • DocuSign, Dentrix, and payer portal experience preferred.

Core Competencies

  • Data accuracy and ownership

  • Strong attention to detail

  • Accountability and follow-through

  • Process discipline

  • Independent work ethic

  • Clear and professional communication

Work Environment

This is a fully remote, individual contributor role with no direct reports. A reliable high-speed internet connection is required. The role is primarily sedentary and requires extended periods of computer and screen use. Team members are expected to be camera-on and professionally presentable during video calls and virtual meetings.

Job Details

Pay Type Hourly

Job Category Corporate

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