Managed Care Provider Enrollment Specialist - Administrative Experience Required

BPI Burrell Preferred Inc.; United States; Remote; USD 25,000 - 36,000; Full time

Benefits offered by this job

Health benefits

Telemedicine

Employee Assistance Program

Career advancement

On-the-job training

Remote work from home

Paid time off

Job summary

Brightli is seeking a detail-oriented Managed Care Enrollment Specialist I to join our remote team. In this role you will complete provider enrollment and revalidation, maintain payer records, and monitor deadlines to support timely reimbursement and access to care for providers.

Ideal candidates bring professional administrative experience, the ability to work independently from a home office, and strong Microsoft Excel skills to track enrollment status and generate reports.

Qualifications

• High school diploma, GED, or equivalent
• Professional experience in an administrative, office, data-management, insurance, billing, claims, healthcare, financial-services, or similarly detail-focused business environment
• Experience maintaining accurate records and meeting established deadlines
• Professional experience using Microsoft Office applications, including Microsoft Excel
• Ability to work independently in a remote environment with reliable organization, time management, and follow-through

Responsibilities

• Complete initial provider enrollment, payer enrollment, and revalidation applications accurately and within required deadlines
• Maintain complete provider records, credentials, practice locations, services, payer data, and application statuses
• Coordinate with providers and internal teams to obtain required documentation, verify information, resolve discrepancies, and communicate updates
• Monitor enrollment applications and outstanding items to support timely payer approval and minimize reimbursement delays
• Audit payer records and provider data to identify errors, maintain compliance, and protect data integrity
• Prepare managed care reports, tracking tools, enrollment documentation, and status updates using Microsoft Excel and other business systems
• Serve as a liaison for external privileging, payer requests, and contractual enrollment requirements
• Research payer policies, enrollment requirements, and industry updates and translate findings into clear next steps
• Collaborate with Managed Care, Credentialing, Revenue Cycle, Operations, and other teams to improve provider enrollment processes

Skills

Administrative experience

Attention to detail

Remote work capability

Time management

Education

High school diploma, GED, or equivalent

Tools

Microsoft Excel

Microsoft Office

Job description

Job Title

Managed Care Enrollment Specialist I

Location

Remote / Work from Home

Department

Managed Care

Employment Type

Full-Time

Pay Range

$17.93-$26.01 per hour, based on relevant experience and work location

Qualification Overview

• Required: Professional experience in an administrative, office, data-management, insurance, billing, claims, healthcare, financial, or similarly detail-focused business environment
• Strongly Preferred: Healthcare revenue cycle experience, including patient billing, insurance claims, collections, or reimbursement
• Preferred: Provider enrollment, payer enrollment, managed care, or credentialing experience

Job Summary

Bring your professional administrative experience, attention to detail, and ability to manage complex information to a remote role that helps healthcare providers remain enrolled and ready to deliver care. As a Managed Care Enrollment Specialist I, you’ll complete provider enrollment and revalidation applications, maintain accurate payer records, monitor deadlines, and help resolve issues that could affect reimbursement or access to healthcare services. This position is designed for candidates with professional experience managing detailed records, applications, data, reports, or deadline-driven administrative processes. Healthcare revenue cycle experience, such as patient billing, insurance claims, collections, or reimbursement, is strongly preferred. Candidates with relevant professional administrative experience and the ability to learn managed care processes may also be considered.

Benefits

• All-Inclusive Employee Benefits Package - A robust full-time employee benefits package encompassing health, dental, vision, retirement, disability, life insurance, wellness program, generous paid time off, and more
• Telemedicine – 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visits
• Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
• Career Advancement & Wage Growth - Grow in your career with great opportunities for upward mobility and added income
• Comprehensive Training - Learn and develop skills with our robust on-the-job training
• Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting healthy, joyful workforce engagement
• Remote Work Opportunity - Enjoy the flexibility and comfort of working from home

Key Responsibilities

• Complete initial provider enrollment, payer enrollment, and revalidation applications accurately and within required deadlines
• Maintain complete provider records, credentials, practice locations, services, payer data, and application statuses
• Coordinate with providers and internal teams to obtain required documentation, verify information, resolve discrepancies, and communicate updates
• Monitor enrollment applications and outstanding items to support timely payer approval and minimize reimbursement delays
• Audit payer records and provider data to identify errors, maintain compliance, and protect data integrity
• Prepare managed care reports, tracking tools, enrollment documentation, and status updates using Microsoft Excel and other business systems
• Serve as a liaison for external privileging, payer requests, and contractual enrollment requirements
• Research payer policies, enrollment requirements, and industry updates and translate findings into clear next steps
• Collaborate with Managed Care, Credentialing, Revenue Cycle, Operations, and other teams to improve provider enrollment processes

Education, Experience, and/or Credential Qualifications

• Required: High school diploma, GED, or equivalent
• Professional experience in an administrative, office, data-management, insurance, billing, claims, healthcare, financial-services, or similarly detail-focused business environment
• Experience maintaining accurate records, processing detailed information, and meeting established deadlines
• Professional experience using Microsoft Office applications, including Microsoft Excel
• Ability to work independently in a remote environment with reliable organization, time management, and follow-through
• Preferred: Healthcare revenue cycle experience, including patient billing, insurance claims, collections, payment processing, reimbursement, or related payer functions
• Experience with provider enrollment, payer enrollment, managed care, provider credentialing, privileging, or revalidation
• Experience communicating with commercial insurance carriers, Medicaid, Medicare, managed care organizations, or other healthcare payers
• Advanced Microsoft Excel experience, including sorting, filtering, formulas, data validation, and tracking large amounts of information
• Experience working remotely in healthcare administration, revenue cycle, insurance, credentialing, or provider support

Additional Qualifications

• Exceptional organization, accuracy, follow-through, and attention to detail
• Strong written and verbal communication and customer-service skills
• Ability to research payer policies and convert complex requirements into actionable steps
• Ability to manage multiple applications, projects, deadlines, and stakeholder requests simultaneously
• Strong analytical, auditing, problem-solving, and process-improvement skills
• Ability to protect confidential provider, organizational, and healthcare information
• Reliable professional workspace and ability to collaborate effectively in a remote work environment

Physical Requirements

Perform primarily sedentary work in a remote environment involving extended periods of sitting and computer use. Frequently use hands, fingers, and arms for typing, data entry, reporting, and electronic communication. Occasionally stand, walk, or move materials weighing up to 10 pounds. Perform the essential functions of the position with or without reasonable accommodation.

Position Perks & Benefits

• Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
• Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
• Top-notch training: initial, ongoing, comprehensive, and supportive
• Career mobility: advancement opportunities/promoting from within
• Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness

Brightli Mission

Brightli is on a Mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce.

EEO Encouragement

We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission.

EEO Statement

We are an Equal Employment Opportunity Employer.

Smoke and Tobacco Free Workplace

Brightli is a Smoke and Tobacco Free Workplace.

Brightli Snapshot

200 locations 4 states 19 subsidiaries and/or affiliates 5k+ employees