Hybrid Enrollment Specialist: Government Payer Credentialing

Beth Israel Lahey Health; Wakefield (MA); Remote; USD 29,000 - 45,000; Full time

Job summary

Beth Israel Lahey Health Performance Network in Wakefield, MA is seeking a full-time Provider Enrollment Specialist to manage government payer enrollment for new providers and groups, ensuring timely enrollment and uninterrupted participation. The role supports ordering, referral, and prescribing activities within the enrollment workflow.

Requirements include a Bachelor’s degree or equivalent, 2–3 years of non-commercial payer enrollment experience, and strong communication skills.

Qualifications

• Bachelor's Degree or equivalent education and experience.
• Minimum of 2-3 years experience in non-commercial payer enrollment.
• Provider enrollment technical proficiency and effective communication skills.

Responsibilities

• Completes government payer enrollment for new providers and groups within established timeframes.
• Obtains information needed for government payer applications from providers and leveraging existing data.
• Performs maintenance updates and re-verification for providers and groups within timeframes.
• Maintains data on providers and groups including name changes, office locations, demographics, and linking practitioners to groups.
• Populates and updates databases reflecting non-commercial payer participation data.
• Submits enrollment applications to state Medicare/Medicaid programs prior to Credentials Committee meetings.
• Submits enrollment applications to state Medicare/Medicaid programs before opening or acquisition of groups/locations.

Skills

Payer enrollment

Government payer enrollment

Effective communication

Education

Bachelor's Degree

Job description

Beth Israel Lahey Health Performance Network in Wakefield, MA is seeking a full-time Provider Enrollment Specialist to manage government payer enrollment for new providers and groups, ensuring timely enrollment and uninterrupted participation. The role supports ordering, referral, and prescribing activities within the enrollment workflow.

Requirements include a Bachelor’s degree or equivalent, 2–3 years of non-commercial payer enrollment experience, and strong communication skills.