Provider Enrollment Specialist – Government Payer & Credentialing

Beth Israel Lahey Health

Westwood (MA)

On-site

USD 29,000 - 45,000

Full time

8 hours ago
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Benefits offered by this job

Vaccination requirement noted

Job summary

Beth Israel Lahey Health in Massachusetts seeks an experienced provider enrollment specialist to manage the government payer enrollment process for new providers and groups. You will coordinate with on-boarding staff and ensure timely applications and verifications, maintaining accurate records across systems.

The role requires a Bachelor’s degree or equivalent, and 2–3 years in non-commercial payer enrollment, with strong communication and data handling skills.

Qualifications

  • Minimum 2–3 years experience in non-commercial payer enrollment.
  • Effective and professional communication skills.
  • Proficiency with payer enrollment data and processes.

Responsibilities

  • Complete government payer enrollment for new individual providers and groups/locations within set timeframes.
  • Gather enrollment information from providers and leveraging existing data.
  • Perform maintenance updates and re-verification for all providers and groups/locations.
  • Update data on providers and groups/locations including name changes and demographics.
  • Populate and update internal and external databases reflecting payer participation.
  • Submit enrollment applications to state Medicare/Medicaid programs before Credentials Committee meetings.

Skills

Payer enrollment systems
Communication skills
Data accuracy

Education

Bachelor's degree

Job description

Beth Israel Lahey Health in Massachusetts seeks an experienced provider enrollment specialist to manage the government payer enrollment process for new providers and groups. You will coordinate with on-boarding staff and ensure timely applications and verifications, maintaining accurate records across systems.

The role requires a Bachelor’s degree or equivalent, and 2–3 years in non-commercial payer enrollment, with strong communication and data handling skills.

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