Remote Provider Enrollment Specialist (Healthcare)

ImagenetLLC; Makati; Remote; PHP 355,000 - 426,000; Full time

Benefits offered by this job

Competitive pay

13th Month Salary

HMO Coverage

Equipment Provided

Career Growth

Immediate Hiring

Job summary

Imagenet is seeking a detail-oriented Provider Enrollment Advocate to support end-to-end enrollment of healthcare providers with payers. You will coordinate with providers, office staff, payers, and internal teams to ensure enrollment applications are accurate, complete, and submitted on time.

The role requires strong healthcare BPO experience, exceptional organizational skills, and the ability to manage multiple cases and deadlines in a fast-paced environment.

Qualifications

• Associate degree or equivalent experience preferred.
• Minimum 4 years BPO healthcare experience (voice account required).
• Experience in Provider Enrollment, Provider Services, or Credentialing strongly preferred.
• Knowledge of healthcare processes including: Medical & dental claims; Eligibility & benefits; ICD-9 / ICD-10 coding (basic understanding); Credentialing standards.

Responsibilities

• Manage and monitor provider enrollment data, ensuring accuracy, completeness, and timely updates
• Coordinate with healthcare providers and office staff to ensure proper enrollment based on payer-specific requirements
• Prepare, organize, label, and maintain all enrollment forms, applications, and supporting documents
• Submit enrollment packages to payers and ensure all requirements are properly fulfilled
• Track enrollment status from initiation to completion and ensure timely resolution of pending items
• Communicate with providers and payers regarding enrollment status, requirements, and updates
• Train providers or office staff on enrollment application processes and system usage
• Ensure compliance with all federal, state, accreditation, and company policies
• Maintain strict confidentiality of all provider and patient-related information
• Follow security protocols for data handling, transmission, and storage (SFTP, encryption, TLS, PHI minimization)
• Report any suspicious activity or security concerns immediately
• Collaborate with internal teams (Sales, Support, Operations) for provider onboarding and approvals

Skills

Attention to detail

Organization

Communication skills

Multitasking

Proactivity

Quality standards

Enrollment coordination

Education

Associate degree or equivalent experience

Tools

MS Office

Web-based systems

Job description

Imagenet is seeking a detail-oriented Provider Enrollment Advocate to support end-to-end enrollment of healthcare providers with payers. You will coordinate with providers, office staff, payers, and internal teams to ensure enrollment applications are accurate, complete, and submitted on time.

The role requires strong healthcare BPO experience, exceptional organizational skills, and the ability to manage multiple cases and deadlines in a fast-paced environment.