Find Jobs
Find Jobs Near You – Available Work in Your Location
Skip to job details
RH
Robert Half
Provider Enrollment Specialist
Career Insights for Enrollment Specialist
See where this job fits in the broader career landscape. Knowing your career path helps you see what's possible from here.
Scorecard
Based on California data
Review key factors to help you decide if this role fits your goals. How is this calculated?
What they do
An Enrollment Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. Assists eligible applicants with enrolling in a program.
$56,414 / year median in California
+8% projected growth
Job Description
A healthcare company is seeking Provider Enrollment Specialists to provide immediate support to a growing healthcare team managing a significant backlog. This Provider Enrollment Specialist is ideal for professionals with prior provider enrollment and healthcare credentialing experience who can step in quickly, work independently, and help improve turnaround times and overall workflow.
Review provider files for accuracy, completeness, and compliance with payer and regulatory requirements. Verify licenses, certifications, education, training, and other required provider documentation. Track application status, renewals, expirables, and follow-up items to ensure timely completion. Communicate with providers, payers, and internal departments regarding enrollment status, missing items, and issue resolution. Maintain accurate records and update provider information in internal databases and systems. Assist in reducing enrollment and credentialing backlog while meeting quality and productivity expectations. Ensure all activities are completed in accordance with organizational policies, payer guidelines, and regulatory standards.
Key Responsibilities:
Process provider enrollment applications and related documentation for health plans, payers, and networks. Support credentialing and recredentialing activities as needed to ensure providers are properly enrolled and maintained.Review provider files for accuracy, completeness, and compliance with payer and regulatory requirements. Verify licenses, certifications, education, training, and other required provider documentation. Track application status, renewals, expirables, and follow-up items to ensure timely completion. Communicate with providers, payers, and internal departments regarding enrollment status, missing items, and issue resolution. Maintain accurate records and update provider information in internal databases and systems. Assist in reducing enrollment and credentialing backlog while meeting quality and productivity expectations. Ensure all activities are completed in accordance with organizational policies, payer guidelines, and regulatory standards.