Enrollment Specialist 2, Managed Care Network, FT, 8:30A-5P

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact - because when it comes to caring for people, we're all in. At Baptist Health, we're committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities , with clear pathways and ongoing support Comprehensive health and wellness resources that go beyond traditional benefits A wellness program that can help employees eliminate their medical plan deductible , reducing out-of-pocket healthcare costs Tuition reimbursement to support continued learning and advancement And so much more Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day. Description Complete new, revalidation and informational updated enrollment applications for participation in government funded payment programs for all Baptist Health Medical Group (BHMG) employed physicians and Baptist Health South Florida (BHSF) facilities with the Medicare, Medicaid and all contracted commercial insurance plans. Corresponds and maintains positive relationships with managed care insurance payors and serves as a central point of contact regarding managed care insurance/payor issues in relation to BHMG employed physicians. Communicates with Medicare Administrative Contactor, fiscal intermediary and contractors for all government payer programs outside the state of Florida and within on behalf of BHSF. To assure all applications, documentation and information necessary for proper compliant reimbursement are up to date, and maintained in proper status Estimated pay range for this position is $22.53 - $27.26 / hour depending on experience.

Qualifications Degrees:

Associates.

Licenses & Certifications:

NAMSS Certified Professional Credentialing Specialist.

Additional Qualifications:

Strong detail oriented professional with at least 10 or more years experience in a healthcare setting. Five years experience in a hospital business office, knowledge of billing and reimbursement regulations governing government funded programs.

NAMSS CPCS/CPCSM

certification OR Equivalent work experience. Experience in a managed care related position dealing directly with payors, providers and /or contracts. Position requires strong critical thinking skills, ability to analyze data and excellent writing and interpersonal skills. Strong working knowledge of

CAQH, PECOS, NPPES

required. Proficient in MS Office including Word, Excel and PowerPoint. Strong organizational skills and attention to detail necessary. Ability to formulate decisions and execute a plan of action.

Minimum Required Experience:

5 Years