Provider Enrollment Specialist

IMH

Provider Enrollment Specialist coordinating credentialing processes between Medical Staff and Administration with administrative support in healthcare roles.

Posted 6/26/2026full-timeRemote • Utah • 🇺🇸 United StatesJunior💰 $22 - $34 per hourWebsite

About the role

Key responsibilities & impact

Provides ongoing support and coordination as a liaison between the Medical Staff, Medical Directors, and Administration
Directs the on-going credentialing / privileging process and other administrative functions
Participates in enrollment progress update meetings for assigned market
Keeps detailed notes about enrollment progress in provider enrollment database
Completes all payer re-credentialing requests and demographic/roster requests
Completes out-of-State Medicaid individual and facility enrollments timely and accurately
Collaborates with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes
Coordinates all aspects of provider enrollment

Requirements

What you’ll need

High School Diploma or Equivalent
One year experience in a healthcare revenue cycle setting
One year of experience working with governments payers and/or commercial payers in a revenue service setting
Demonstrated knowledge of working medical billing database work queues

Benefits

Comp & perks

generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

credentialingprivilegingpayer re-credentialingdemographic requestsroster requestsMedicaid enrollmentmedical billingCPT coding

Soft Skills

coordinationcommunicationcollaborationnote-taking

Certifications

High School DiplomaEquivalent