Provider Enrollment & Credentialing Specialist

Lexington Clinic; Lexington (KY); On-site; USD 25,000 - 36,000; Full time

Job summary

Lexington Clinic in Lexington, KY seeks a Provider Enrollment Specialist to manage payer enrollment under supervision. Responsibilities include completing enrollment applications, handling carrier requests, and tracking processes to ensure timely submissions.

The role requires knowledge of medical coding, enrollment procedures, and strong organizational skills. Proficiency in Word/Excel and a valid Kentucky driver’s license are preferred. Attendance is essential.

Qualifications

• High school diploma or equivalent is likely required.
• 2 years of healthcare provider enrollment experience preferred.
• Knowledge of medical coding and third-party reimbursement.
• Familiarity with medical terminology and coding procedures.

Responsibilities

• Complete and submit provider enrollment applications accurately.
• Respond to carrier enrollment and revalidations; update ownership disclosures.
• Track enrollment progress and contact carriers to expedite processing.
• Research and resolve enrollment errors and adjust accounts as needed.
• Communicate professionally; monitor workflow and support related tasks.

Skills

Healthcare enrollment

Medical coding

Third party fee profiles

Medical terminology

Typing

Verbal & written communication

Phone etiquette

Organization

Independent work

Microsoft Word

Excel

Credentialing software

Driver's license

Education

High school diploma or equivalent

Tools

Microsoft Word

Excel

Job description

Lexington Clinic in Lexington, KY seeks a Provider Enrollment Specialist to manage payer enrollment under supervision. Responsibilities include completing enrollment applications, handling carrier requests, and tracking processes to ensure timely submissions.

The role requires knowledge of medical coding, enrollment procedures, and strong organizational skills. Proficiency in Word/Excel and a valid Kentucky driver’s license are preferred. Attendance is essential.