Remote Managed Care Provider Enrollment Specialist

BPI Burrell Preferred Inc.

United States

Remote

USD 25,000 - 36,000

Full time

3 days ago
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Benefits offered by this job

Health benefits
Telemedicine
Employee Assistance Program
Career advancement
On-the-job training
Remote work from home
Paid time off

Job summary

Brightli is seeking a detail-oriented Managed Care Enrollment Specialist I to join our remote team. In this role you will complete provider enrollment and revalidation, maintain payer records, and monitor deadlines to support timely reimbursement and access to care for providers.

Ideal candidates bring professional administrative experience, the ability to work independently from a home office, and strong Microsoft Excel skills to track enrollment status and generate reports.

Qualifications

  • High school diploma, GED, or equivalent
  • Professional experience in an administrative, office, data-management, insurance, billing, claims, healthcare, financial-services, or similarly detail-focused business environment
  • Experience maintaining accurate records and meeting established deadlines
  • Professional experience using Microsoft Office applications, including Microsoft Excel
  • Ability to work independently in a remote environment with reliable organization, time management, and follow-through

Responsibilities

  • Complete initial provider enrollment, payer enrollment, and revalidation applications accurately and within required deadlines
  • Maintain complete provider records, credentials, practice locations, services, payer data, and application statuses
  • Coordinate with providers and internal teams to obtain required documentation, verify information, resolve discrepancies, and communicate updates
  • Monitor enrollment applications and outstanding items to support timely payer approval and minimize reimbursement delays
  • Audit payer records and provider data to identify errors, maintain compliance, and protect data integrity
  • Prepare managed care reports, tracking tools, enrollment documentation, and status updates using Microsoft Excel and other business systems
  • Serve as a liaison for external privileging, payer requests, and contractual enrollment requirements
  • Research payer policies, enrollment requirements, and industry updates and translate findings into clear next steps
  • Collaborate with Managed Care, Credentialing, Revenue Cycle, Operations, and other teams to improve provider enrollment processes

Skills

Administrative experience
Attention to detail
Remote work capability
Time management

Education

High school diploma, GED, or equivalent

Tools

Microsoft Excel
Microsoft Office

Job description

Brightli is seeking a detail-oriented Managed Care Enrollment Specialist I to join our remote team. In this role you will complete provider enrollment and revalidation, maintain payer records, and monitor deadlines to support timely reimbursement and access to care for providers.

Ideal candidates bring professional administrative experience, the ability to work independently from a home office, and strong Microsoft Excel skills to track enrollment status and generate reports.

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