Provider Enrolment Specialist

Provider Enrolment Specialist

Location: Irving, TX 75039

Employment Type: Contract

Duration: Approximately 3 Months

Schedule: Monday-Friday 9:00 AM – 5:00 PM

Start Date: January 19, 2026

Work Type: Onsite

Hours per Week: 40

Payrate: $24.13 / hr

Only U.S. Citizens and Green Card holders will be considered.

Healthcare experience is required – please apply only if you meet this criterion.

The Provider Enrollment Specialist is responsible for coordinating and managing provider credentialing and enrollment processes with commercial payers, Medicare, and Medicaid. Working under the direction of the Provider Enrollment Manager, this role ensures compliance with payer and regulatory requirements while serving as a key liaison between administrative teams, internal stakeholders, and external payers. The ideal candidate is detail‑oriented, organized, and experienced in healthcare enrollment operations.

• Prepare, submit, and manage provider credentialing and enrollment applications for commercial health plans, Medicare, and Medicaid.
• Conduct follow‑ups with commercial and government payers via phone, email, and online enrollment systems to track application status.
• Monitor enrollment progress and communicate timely updates to appropriate internal departments.
• Maintain and regularly update internal credentialing databases to ensure accuracy and compliance.
• Identify enrollment issues, discrepancies, or delays and communicate findings clearly and professionally to stakeholders.
• Coordinate and compile credentialing documentation, including education, training, certifications, and licensure.
• Collaborate effectively with internal teams and external partners in a patient, respectful, and professional manner.
• Work cooperatively with team members to meet enrollment deadlines and performance expectations.
• Ensure full compliance with payer, regulatory, and organizational enrollment standards.

• High School Diploma or GED required (proof of education must be submitted).
• 1–3 years of experience in provider enrollment, credentialing, or payer relations.
• 3+ years of experience with Medicare and Medicaid enrollment/re‑enrollment and managed care credentialing preferred.
• Proficient in PC applications, including Microsoft Word, Excel, and Access.
• Excellent written and verbal communication skills.
• Strong organizational, planning, and attention‑to‑detail abilities.
• Ability to manage multiple priorities and meet deadlines in a fast‑paced healthcare environment.
• Proven ability to work independently as well as collaboratively within a team.

• Provider Enrollment & Credentialing
• Medicare & Medicaid Enrollment Processes
• Managed Care Contracting
• Healthcare Operations & Compliance
• Data Tracking & Documentation Accuracy
• Vendor and Payer Communication
• Database and Records Management