Group Enrollment Specialist

Remote Jobs; United States; Remote; USD 50,000 - 70,000; Full time

Job summary

A healthcare organization is seeking a Provider Enrollment Specialist to coordinate enrollment applications, ensuring compliance with state and federal regulations. This role requires attention to detail, with a preferred background in healthcare enrollment and relevant knowledge of regulations. The position offers the flexibility of remote work and a chance to positively impact women's and children's health.

Benefits

Comprehensive benefits package

Employee Stock Purchase Plan

Career advancement opportunities

Qualifications

• 3-5 years of experience in Provider Enrollment.
• Strong knowledge of state and federal regulations and hospital standards.
• High attention to detail and accuracy in documentation.

Responsibilities

• Coordinate and complete all group enrollment applications for payers.
• Research and compile payer requirements for compliance.
• Document all group-related information in the Provider Enrollment system.

Skills

Attention to detail

Regulatory knowledge

Organizational skills

Communication skills

Analytical skills

Education

High school diploma

Associate or bachelor's degree

Tools

PECOS (Medicare)

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:

• Opportunity for career advancement and growth within the organization
• Comprehensive benefits package including medical, dental, and vision insurance
• Employee Stock Purchase Plan (ESPP) with a 15% discount
• Supportive work environment focused on coordinated and compassionate care
• Chance to make a positive impact on women's and children's health
• Flexibility of remote work available

What to Expect (Job Responsibilities):

• Coordinate and complete all group enrollment applications and Disclosure of Ownership (DOO) submissions for government and commercial payers
• Research and compile payer requirements, ensuring compliance and timely processing
• Document all group-related information in the Provider Enrollment system and other applicable platforms
• Escalate issues or denials related to enrollment to mitigate risk
• Support organic growth and acquisitions by gathering necessary data and documents for enrollment

What is Required (Qualifications):

• High school diploma required; Associate or bachelor's degree preferred
• 3-5 years of experience in Provider Enrollment
• Strong knowledge of state and federal regulations, hospital standards, and payer requirements
• High attention to detail and accuracy in documentation and compliance
• Proficiency with PECOS (Medicare) required

How to Stand Out (Preferred Qualifications):

• Experience with group and individual enrollments across multiple states
• Strong organizational, time management, and communication skills
• Ability to research and interpret applicable statutes and regulations
• Strong critical thinking and analytical skills related to group applications and regulations
• Assertiveness and ability to work independently