Managed Care Provider Enrollment Specialist - Administrative Experience Required

Brightli; United States; Remote; USD 52,000 - 68,000; Full time

Benefits offered by this job

Health, dental, vision insurance

Paid time off and telemedicine

On-the-job training and career growth

Job summary

Brightli is seeking a remote Enrollment Specialist to manage provider enrollment, payer enrollment, and revalidation activities. You will maintain provider records, credentials, and payer data, coordinating with internal teams to finalize documentation and resolve discrepancies.

The role requires strong Excel skills, meticulous record-keeping, and the ability to work independently from a remote environment across the United States.

Qualifications

• High school diploma or equivalent required.
• Professional administrative/office experience preferred.
• Experience maintaining accurate records and meeting deadlines.
• Proficiency in Microsoft Office and Excel required.
• Ability to work independently in a remote environment.

Responsibilities

• Complete provider enrollment, payer enrollment, and revalidation applications on time.
• Maintain provider records, credentials, and payer data.
• Coordinate with providers and internal teams to obtain documentation and resolve discrepancies.
• Monitor enrollment applications and items to support payer approval.
• Audit payer records and provider data to protect data integrity.
• Prepare managed care reports and tracking tools using Excel.
• Serve as liaison for external privileging, payer requests, and enrollment requirements.
• Research payer policies and translate findings into clear next steps.

Skills

Microsoft Office

Excel

Record keeping

Time management

Education

High school diploma

Job description

Responsibilities

• Complete initial provider enrollment, payer enrollment, and revalidation applications on time


• Maintain provider records, credentials, practice locations, services, and payer data


• Coordinate with providers and internal teams to obtain documentation and resolve discrepancies


• Monitor enrollment applications and outstanding items to support timely payer approval


• Audit payer records and provider data to identify errors and protect data integrity


• Prepare managed care reports and tracking tools using Microsoft Excel


• Serve as liaison for external privileging, payer requests, and contractual enrollment requirements


• Research payer policies and translate findings into clear next steps

Requirements

• High school diploma, GED, or equivalent


• Professional administrative, office, data-management, billing, or healthcare experience


• Experience maintaining accurate records and meeting deadlines


• Professional Microsoft Office and Excel experience


• Ability to work independently in a remote environment

Preferred Qualifications

• Healthcare revenue cycle experience, including patient billing and insurance claims


• Provider enrollment, payer enrollment, managed care, or credentialing experience


• Communication with commercial insurers, Medicaid, Medicare, or managed care organizations


• Advanced Excel skills, including formulas, filtering, and data validation

Benefits

• Full-time health, dental, vision, retirement, disability, and life insurance


• Paid time off, telemedicine, and employee assistance program


• On-the-job training and career advancement opportunities

About the Company

Brightli is a behavioral health organization forming a multi-subsidiary model to share resources and expand access to mental health and addiction care.