Remote Provider Enrollment Specialist – Multi-State

Blue Cloud Pediatric Surgery Centers, LLC; Lansing (MI); Remote; USD 60,000 - 85,000; Full time

Benefits offered by this job

Remote work opportunity

Competitive benefits package

Paid Time Off

Job summary

Blue Cloud Pediatric Surgery Centers, LLC is seeking a Provider Enrollment Specialist for a remote role to manage provider and entity enrollments, recredentialing, and payer enrollment with Medicare, Medicaid, and commercial plans. This position emphasizes timely submissions, accurate records, and proactive follow-up to prevent enrollment delays.

The ideal candidate will be highly organized, detail-oriented, and capable of managing a high-volume workload across several states, while

Qualifications

• 3+ years of payer enrollment experience in a healthcare setting.
• Experience enrolling both individual providers and healthcare entities.
• Knowledge of CAQH, Availity, PECOS and EFT enrollment processes.

Responsibilities

• Facilitate initial enrollments, recredentialing, and payer enrollment applications for providers and entities with Medicare, Medicaid, and commercial insurance plans.
• Prepare, review, and submit enrollment applications, ensuring accuracy and timely submission.
• Monitor enrollment status and perform follow-ups with payers to expedite approvals.
• Maintain provider and entity records and enrollment data.

Skills

Payer enrollment

Multi-state enrollments

Independent worker

Communication skills

MS Office

Tools

CAQH

Availity

PECOS

Job description

Blue Cloud Pediatric Surgery Centers, LLC is seeking a Provider Enrollment Specialist for a remote role to manage provider and entity enrollments, recredentialing, and payer enrollment with Medicare, Medicaid, and commercial plans. This position emphasizes timely submissions, accurate records, and proactive follow-up to prevent enrollment delays.

The ideal candidate will be highly organized, detail-oriented, and capable of managing a high-volume workload across several states, while