Provider Enrollment Specialist — Streamline Payer

Ventra-Health; Mabalacat; On-site; PHP 3,762,000 - 5,643,000; Full time

Benefits offered by this job

Performance-based incentive

Job summary

Ventra Health is seeking a Provider Enrollment Specialist to work with the Enrollment Manager to resolve payer enrollment issues and denials. You will research and enroll CMS Medicare, State Medicaid, and other payers, communicating with CMS, clients, and operations to ensure accurate enrollment and revalidation.

The role requires 1+ year in provider enrollment, attention to detail, and strong documentation and communication skills.

Qualifications

• Associate's degree (2 years) required, Bachelor's preferred.
• At least 1 year of provider enrollment experience preferred.
• Knowledge of CMS/Medicaid requirements and third-party payers.

Responsibilities

• Performs follow-up with market locations to research and resolve payer enrollment issues

Skills

CMS enrollment

HIPAA privacy

analytical skills

communication skills

detail orientation

teamwork

confidentiality

Education

Associate's degree

Bachelor's degree preferred

Tools

CMS applications

payer portals

Job description

Ventra Health is seeking a Provider Enrollment Specialist to work with the Enrollment Manager to resolve payer enrollment issues and denials. You will research and enroll CMS Medicare, State Medicaid, and other payers, communicating with CMS, clients, and operations to ensure accurate enrollment and revalidation.

The role requires 1+ year in provider enrollment, attention to detail, and strong documentation and communication skills.