Provider Enrollment Pro: Streamline Network Participation

Nemours; Jacksonville (FL); On-site; USD 42,000 - 65,000; Full time

Job summary

Nemours is seeking a Provider Enrollment Specialist to manage the enrollment and re-enrollment of our organization and its healthcare professionals across multiple payors. The role emphasizes accuracy, attention to detail and timely processing.

You will maintain electronic provider records, coordinate with health plans, and communicate enrollment information to internal and external stakeholders to support patient scheduling and reimbursement.

Qualifications

• High School Diploma required; Associate Degree preferred.
• 1-3 years experience.

Responsibilities

• Accurately complete the enrollment/re-enrollment processes for all networks/areas for healthcare providers.
• Maintain detailed provider enrollment files electronically, following Nemours PHI handling policies.
• Accurately maintain internal systems with provider and network information (ECHO, Excel, PET Tracker, iGuide, Qliksense, NPL tracker, Internet, Outlook, and word processing).
• Perform follow up with health plans and their representatives to expedite participation approval.
• Develop and maintain relationships with Nemours providers and network representatives to facilitate enrollment/re-enrollment.
• Send enrollment applications to providers to obtain signatures and demographic information.
• Collaborate with team to improve department workflows, policies, and systems, including cross-training.
• Assist with special priority projects and other duties as assigned.

Skills

Attention to detail

Communication

Organization

Education

High School Diploma

Associate Degree

Tools

ECHO

Excel

PET Tracker

iGuide

Qliksense

NPL tracker

Outlook

Word processing

Job description

Nemours is seeking a Provider Enrollment Specialist to manage the enrollment and re-enrollment of our organization and its healthcare professionals across multiple payors. The role emphasizes accuracy, attention to detail and timely processing.

You will maintain electronic provider records, coordinate with health plans, and communicate enrollment information to internal and external stakeholders to support patient scheduling and reimbursement.