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Provider Enrollment Specialist
TEKsystemsProvider enrollment specialist managing healthcare payer applications for BetterHelp. Tracking statuses, documentation, and provider communications in a fully remote contract role.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing provider enrollment processes and maintaining accurate records while ensuring effective communication with providers and insurance payers. Proficient in handling high volumes of requests and utilizing internal systems and spreadsheets for tracking enrollment statuses.
Highest-signal resume keywords
Provider Enrollment ManagementHealthcare Administration ExperienceStrong Organizational SkillsEffective Communication SkillsPayer Enrollment Process Understanding
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider EnrollmentCredentialingSpreadsheetsInternal SystemsApplication ProcessingDocumentation ManagementData Tracking
Soft Skills
Problem-Solving SkillsCustomer Service OrientationAbility to Manage Multiple TasksProfessional Communication
Tools & Technologies
EmailCAQH
Industry Keywords
HealthcareInsurance PayersGovernment PlansCommercial Plans
About the role
Key responsibilities & impact- Manage provider enrollment processes with various insurance payers
- Review daily email communications for application approvals, requests, and status updates
- Track and update enrollment statuses using spreadsheets and internal systems
- Submit requests and complete enrollment-related actions once provider authorization is obtained
- Contact providers to obtain missing information or required documentation
- Follow up on submitted applications approximately every 15 days
- Maintain accurate records and documentation of enrollment activities
- Handle a high volume of requests, typically between 20 and 70 requests per day
- Use templated email responses while maintaining professional communication
- Follow established outreach and follow-up processes
- Verify requests are appropriate and complete before processing
- Assist with standard enrollments and more complex new provider enrollment cases
Requirements
What you’ll need- High school diploma or equivalent
- 1-2 years of experience in provider enrollment, credentialing, or healthcare administration
- Strong organizational, communication, and problem-solving skills
- Ability to manage multiple tasks and deadlines in a fast-paced environment
- Customer service-oriented mindset
- Comfortable working with spreadsheets, email, and internal systems
- Understanding of payer enrollment processes, including government and commercial plans
- Familiarity with CAQH
- Experience supporting provider enrollment or credentialing workflows
Benefits
Comp & perks- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)