Provider Enrollment Specialist, Applications, Remote

Centauri Health Solutions, Inc.; Tucson (AZ); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare solutions provider is seeking a Provider Enrollment Specialist to join their remote team in Tucson, AZ. The role involves processing Medicaid enrollment applications and requires strong administrative skills. The company offers competitive pay, benefits, and development opportunities in a supportive environment.

Benefits

Competitive Pay

Benefits

Paid Time Off

401(k)

Tuition Reimbursement

Development Opportunities

Bonus Eligible

Qualifications

• Minimum two years of medical administrative experience.
• Knowledge of Medicare and Medicaid; experience with credentialing processes preferred.

Responsibilities

• Process Out of State Medicaid hospital and physician enrollment applications.
• Meet daily productivity goals and document findings.
• Prepare complex enrollment applications and verify instructions.

Skills

Decision-Making

Communication

Organizational Skills

Education

Medical Administrative Experience

Tools

Microsoft Office

Job description

Provider Enrollment Specialist, Applications, Remote

Tucson, AZ, USA

Job Description

Posted Thursday, April 24, 2025 at 7:00 AM

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial, and Exchange. We aim to improve health outcomes through compassionate outreach, analytics, clinical data exchange, and data-driven solutions. Headquartered in Scottsdale, AZ, with 1700 employees nationwide, we have been recognized on the Inc. 5000 list since 2019 and the Deloitte Technology Fast 500 in 2020. Visit www.centaurihs.com for more information.

Role Overview

The Provider Enrollment Specialist is a key team member within Centauri’s Out of State Medicaid billing agency, focusing on processing Out of State Medicaid hospital and physician enrollment applications, including eligibility verifications and enrollment management.

Role Responsibilities

1. Complete Training Plan

• Complete training to master role responsibilities
• Ensure all accounts are audited until training is completed in phases
• Follow internal procedures and understand Out of State Medicaid payer guidelines

Management of Tasks

• Meet daily productivity goals
• Review and complete assigned tasks by deadlines
• Document findings and update systems accordingly
• Identify trends and submit system updates
• Collaborate within teams for next steps

Enrollment Applications

• Prepare complex hospital and physician enrollment applications using various formats
• Obtain necessary credentials and verify instructions with payers
• Review client responses and update databases with new credentials

Role Requirements

• Minimum two years of medical administrative experience, with knowledge of Medicare and Medicaid; experience with credentialing processes like NPPES, PECOS is preferred
• Strong decision-making, communication, and organizational skills
• Proficiency in Microsoft Office and ability to navigate multiple platforms
• Ability to work independently and as part of a team, managing multiple priorities effectively

We offer a rewarding environment with competitive pay, benefits, paid time off, 401(k), tuition reimbursement, and development opportunities. The position is bonus eligible.

Our policy requires some employees to be fully vaccinated, with accommodations available as required by law. Starting pay may vary based on location, skills, and experience.