Provider Enrollment Coordinator

Jobtailor; Dallas (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

Jobtailor is seeking a dedicated Enrollment Specialist to manage payer enrollments, CAQH maintenance, and multi-state applications. You will coordinate with providers, payers, and billing partners to ensure accurate submissions and timely approvals.

Ideal candidates have 2+ years in payer enrollment, strong communication skills, and proficiency in Word/Excel. Bachelor’s degree and multi-state experience are a plus. This is an on-site role in Dallas.

Qualifications

• 2+ years payer enrollment experience for individual providers or groups.
• Ability to obtain, set-up, maintain, and reattest CAQH profiles.
• Experience with government healthcare payers is preferred.
• Excellent analytical, organizational, and verbal/written communication skills.
• Strong telephone skills and high attention to detail in a fast-paced environment.
• Proficient in Microsoft Word and Excel; able to manage multiple priorities.
• English reading and writing proficiency required.
• Preferred: Bachelor’s degree and multi-state enrollment experience.

Responsibilities

• Facilitate enrollment through payer applications for provider groups and individuals.
• Maintain CAQH profiles, reporting, and provider attestations every 120 days.
• Prepare applications for new providers across multiple sites, payers, and states.
• Submit applications electronically to payers based on contracts.
• Track applications and follow up to ensure timely completion and payer approval.
• Communicate with clinicians, state payers, insurance carriers, and internal staff.
• Build relationships with payers to obtain provider billing numbers.
• Prepare correspondence and submit provider and group information to payers.
• Work with in-house and third-party billing companies on applications and system updates.
• Handle corrections or claim rejections due to enrollment errors or submission requirements.
• Communicate issues and status to the Enrollment Manager.
• Submit held A/R enrollments promptly and maintain held A/R reports.
• Meet or exceed enrollment performance standards and deadlines.
• Update application status in system databases and Excel reports.
• Determine applications requiring management approval or special processing.
• Manage high-volume enrollments and drive provider enrollments through completion.
• Assist with enrollment reporting for multiple payers (e.g., Superior Health, Healthscope, Cigna).
• Maintain Enrollment Master Reports and track submissions, re-validations, and re-enrollments.

Skills

Payer Enrollment

CAQH Profile Maintenance

Application Submission

Enrollment Reporting

Data Tracking

Claim Resolution

Multi-state Enrollment

Government Healthcare Experience

High Attention to Detail

Enrollment Standards

Education

High School Diploma

Bachelor’s degree

Tools

Microsoft Word

Microsoft Excel

System Databases

Job description

• Facilitate enrollment through payer applications for provider groups and individual providers
• Maintain CAQH profiles, reporting, and provider attestations every 120 days
• Prepare applications for new providers across multiple contract sites, payers, and states
• Submit applications electronically to payers based on contracts
• Track applications and follow up to ensure timely completion and payer approval
• Communicate with clinicians, state payers, insurance carriers, third-party billing companies, and internal staff
• Build relationships with payers to facilitate enrollment and obtain provider billing numbers
• Prepare correspondence and submit provider and group application information to payers
• Work with in-house and third-party billing companies on applications, system updates, and problem resolution
• Handle corrections or claim rejections caused by enrollment errors or claim submission requirements
• Communicate issues and problem status to the Enrollment Manager
• Submit held A/R enrollments promptly and maintain held A/R reports to maximize income opportunities
• Meet or exceed enrollment performance standards and time-sensitive deadlines
• Update application status in system databases and Excel reports
• Determine applications requiring management approval or special processing
• Manage high-volume enrollments and drive provider enrollments through completion
• Assist with enrollment reporting for Superior Health, Healthscope, Cigna, and other payers
• Maintain Enrollment Master Reports and track submissions, re-validations, and re-enrollments for providers and groups
• Adhere to company policies and procedures

Requirements

• High School Diploma
• 2+ years payer enrollment (individual provider and group enrollment) or related experience
• Ability to obtain, set-up, maintain, and reattest CAQH profiles
• Prior government healthcare payer experience
• Excellent analytical, organizational, and verbal/written communication skills
• Strong telephone skills
• Ability to manage multiple priorities with high attention to detail in a high-volume, fast-paced environment
• Strong customer service orientation
• Ability to use discretion appropriately and maintain confidentiality
• High proficiency with Microsoft Office applications, especially Microsoft Word and Excel
• Ability to read, write, and speak English proficiently
• Preferred: Bachelor’s degree
• Preferred: Enrollment experience with both Commercial and Government Plans
• Preferred: Multi-state Enrollment Experience
• Ability to fulfill office activities, including computer-based work and filing
• Occasionally lift and/or move up to 20–25 pounds

Core Competencies

Demonstrates expertise in payer enrollment processes, including CAQH profile management and application submissions across multiple states and payers. Strong analytical and organizational skills are essential for managing high-volume enrollments and ensuring compliance with deadlines.

Highest-signal resume keywords

• Payer Enrollment Experience
• CAQH Profile Management
• Microsoft Office Proficiency
• Analytical Skills
• Customer Service Orientation

ATS Optimization Keywords

Hard Skills

• Payer Enrollment
• CAQH Profile Maintenance
• Application Submission
• Enrollment Reporting
• Data Tracking
• Claim Resolution
• Multi-state Enrollment
• Government Healthcare Experience
• High Attention to Detail
• Enrollment Performance Standards

Soft Skills

• Verbal Communication
• Written Communication
• Organizational Skills
• Telephone Skills
• Discretion and Confidentiality

Industry Keywords

• Healthcare Payer
• Provider Enrollment
• Insurance Carriers
• Third-party Billing
• Enrollment Master Reports

Tools & Technologies

• Microsoft Word
• Microsoft Excel
• System Databases