Enrollments Specialist

Enrollments Specialist – AP Health

Location: Nashville, TN

Employment Type: Full-Time, M-F hybrid role

AP Health is a private practice comprised of advanced practice providers. We provide perioperative services to hospitals, surgeons, and surgery centers. This role will specialize in payer enrollment operations for our facility-based model.

• Oversee and execute end-to-end provider enrollment processes with in-network payers while maintaining an active roster.
• Collaborate with Revenue Cycle team to understand payer policies and requirements.
• Connect with providers and payers to efficiently complete the enrollment process.
• Navigate payer portals like Availity, Optum, and others to submit enrollment applications, track statuses, and resolve enrollment delays.
• Communicate with our People Operations team during the provider onboarding process to gather information and begin timely enrollments.
• Manage providers CAQH profiles through employee lifecycle.
• Assist in establishing Revenue Cycle SOPs and data workflows, providing feedback on enhancements for internal software and external leveraged resources.

• 1-2 years of experience in healthcare revenue cycle, with 1-2 years managing payer enrollments (Medicare, Medicaid, and Commercial).
• Knowledge of payer enrollment processes and reimbursement rules.
• Familiarity with portals like Availity and Optum.
• Compliance with HIPAA regulations and other healthcare standards.
• Excellent communication and collaboration skills with a problem-solving approach.
• Preferred Associate’s or Bachelor’s in healthcare administration, business, or related field (equivalent experience also accepted).
• Preferred certifications in PECOS/CAQH training, CPC (AAPC).

• Comprehensive and flexible medical, dental, and vision insurance.
• Short and long-term disability, basic and supplemental life.
• 401K retirement plan with company matching.
• Participation in the company’s Employee Stock Option Plan (ESOP).
• Paid state license, malpractice, and other agreed upon licenses and dues.
• Tuition reimbursement.
• Annual $1,500 allotment accompanied by 3 paid days off for Continuing Medical Education (CME).
• Generous PTO and "life/work" balance.
• Excellence at Work: AP Health is a certified Great Place to Work™ - a national designation based on employee feedback about trust, workplace culture, and experience.

Entry level

Full-time

Strategy/Planning and Information Technology

Hospitals and Health Care

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