Provider Enrollment Specialist

Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As a Provider Enrollment Specialist, you will manage payer enrollment activities for provider clients, helping ensure providers and practices are properly enrolled with Medicare, Medicaid, and commercial insurance plans. You will prepare applications, track enrollment status, resolve issues, and maintain accurate payer and provider information.
WHAT YOU WILL DO

Prepare and submit provider enrollment applications to Medicare, Medicaid, and commercial payers

Gather and review provider information and supporting documentation required for enrollment

Track enrollment applications, payer requests, approvals, and effective dates

Follow up with payers and enrollment organizations on pending or delayed applications

Research and resolve enrollment discrepancies, rejections, and missing information

Maintain accurate provider and payer enrollment records in internal systems and online portals

Process updates to provider information, including practice locations, specialties, and affiliations

Coordinate enrollment-related information with credentialing, billing, and client teams

Monitor enrollment deadlines and support timely revalidation, renewals, and payer updates

WHAT WE ARE LOOKING FOR

1+ year of experience in provider enrollment, payer enrollment, credentialing, medical billing, or a related healthcare administrative role

Understanding of Medicare, Medicaid, and commercial payer enrollment processes

Experience preparing and submitting enrollment applications and supporting documentation

Familiarity with payer portals and online provider enrollment systems

Strong attention to detail and ability to manage multiple applications and deadlines

Strong organizational and follow-up skills

Ability to research enrollment issues and communicate effectively with payers and provider teams

Ability to work independently and effectively in a fully remote environment

HIPAA-compliant private workspace

NICE TO HAVE

Experience with CAQH

Knowledge of NPI, taxonomy codes, PECOS, and other provider enrollment requirements

Experience with Medicare and Medicaid revalidation

Experience working with multiple commercial payers

Experience with hospital or multi-specialty provider enrollment

Familiarity with Epic, Athena, eClinicalWorks, or other healthcare systems

COMPENSATION AND BENEFITS
Compensation will be discussed during the interview and will reflect the candidate’s experience, qualifications, and relevant healthcare administration expertise.
Benefits and additional employment details will be discussed during the hiring process.
HIRING PROCESS
Application review → introductory conversation → hiring manager interview → offer.
EQUAL OPPORTUNITY
Raventra Health is an equal opportunity employer. We consider all qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. If you need an accommodation at any stage of the hiring process, please contact us and we will work with you to provide appropriate support.
Location: Remote
Originally posted on Himalayas