Provider Enrollment Specialist

XiFin, Inc.; Dallas (TX); On-site; USD 28,000 - 33,000; Full time

Job summary

XiFin, Inc. seeks a Provider Enrollment Specialist to enroll healthcare providers with government and commercial payers, manage the enrollment lifecycle, and maintain accurate records in line with payer and regulatory requirements.

The role emphasizes attention to detail, strong communication with providers and internal teams, and the ability to improve enrollment workflows. Onsite work is required in Dallas, TX, with a focus on radiology enrollment and ongoing data accuracy.

Qualifications

• Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field preferred.
• Minimum 1–2 years of provider enrollment and credentialing experience, with at least 1 year in Medicare and Medical enrollment.
• Radiology and Teleradiology‑specific experience highly preferred.
• Familiarity with enrollment policies and payer guidelines (CMS, PECOS, NPPES, CAQH, Medical, Availity).
• Ability to safeguard PHI and comply with HIPAA regulations.

Responsibilities

• Prepare, submit, and track enrollment applications for Medicare, Medicaid, and commercial payers.
• Maintain up to 200 providers in enrollment maintenance.
• Keep provider data accurate in internal databases and payer systems.
• Maintain organized electronic files of enrollment actions.
• Track status and follow up with payers for timely processing.
• Generate enrollment status and expiration reports.
• Communicate with providers and internal teams to gather required documents.
• Respond to payer inquiries regarding provider status and enrollment.
• Ensure compliance with payer, federal, and state enrollment regulations.
• Assist with audits and documentation requests.

Skills

Detail‑oriented

Customer service

Policy interpretation

Problem solving

Independent worker

HIPAA compliance

Education

Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field

Tools

CMS

PECOS

NPPES

CAQH

Availity

Job description

Are you interested in harnessing technology and AI to transform healthcare? At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.

We’re on a mission to simplify the business side of healthcare—and we know that mission takes people from all backgrounds and experiences. Whether you’re early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference.

About The Role

The Provider Enrollment Specialist is responsible for ensuring healthcare providers are properly enrolled and credentialed with government and commercial payers to facilitate timely reimbursement. This role supports the organization by managing the provider enrollment process from application through approval, maintaining accurate provider records, and ensuring compliance with payer and regulatory requirements.

You should be highly detailed and comfortable navigating numerous online tools and resources. A strong communicator with both internal and external customers, have solid organizational skills, and can apply analytical skills to solving problems. Additionally to be successful in this role, you must have the ability to think critically about process workflows and process improvement.

This position is onsite in our Charleston, SC or Dallas, TX office.

This position is not eligible for employment sponsorship now or in the future. Applicants must have current and ongoing authorization to work in the United States.

How you will make an impact:

• Prepare, submit, and track Medicare, Medicaid, and commercial payer enrollment applications for Radiologists and Radiology Group practices.
• Maintain up to 200 providers in a maintenance phase.
• Maintain accurate and current provider data in internal databases and payer systems.
• Maintain detailed and organized electronic files and records of all enrollment actions.
• Track application status and follow up with payers to ensure timely processing.
• Generate reports on enrollment status, expirations, and pending applications.
• Communicate with providers and internal departments to gather required documents and resolve enrollment‑related issues.
• Respond to inquiries from payers and internal stakeholders regarding provider status.
• Ensure compliance with all payer‑specific, federal, and state regulations related to enrollment and credentialing.
• Assist with audits, reporting, and documentation requests.

What you will bring to the team:

• Detail‑oriented with a high level of accuracy.
• Ability to interpret complex enrollment policies and payer guidelines and apply them to daily workflows.
• Problem‑solving and escalation management skills.
• Strong customer service mindset when interacting with providers and stakeholders.
• Capacity to work independently and as part of a collaborative team.
• Ability to safeguard sensitive provider and organizational information in compliance with HIPAA regulations, ensuring confidentiality, security, and ethical management of sensitive information.

Skills and experience you have:

• Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field preferred.
• Minimum 1‑2 years of provider enrollment and credentialing experience, with at least 1 year in Medicare and Medical enrollment.
• Radiology and Teleradiology‑specific experience highly preferred.
• Strong understanding of enrollment such as CMS, PECOS, NPPES, CAQH, Medical, Availity, etc.
• Familiarity with Medicare Part B and Medical fee‑for‑service and managed care enrollment rules.
• Exceptional organizational skills with the ability to manage multiple providers and deadlines.

Pay Transparency

At XiFin, we believe in pay transparency and fairness. The expected hourly range for this role is $20 to $24, based on your experience, skills, and geographic location. Final compensation will be determined during the selection process and may vary accordingly.

Accessibility & Accommodations

We’re committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at 858-436-2900.

Equal Opportunity Employer

XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law.

Ready to apply?

We’d love to hear from you—even if you’re not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.