Specialist, Provider Enrollment
Schedule: Monday - Friday, 40 hours per week
Job Location Type: Remote
Your experience matters
At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier®.
How you'll contribute
The Provider Enrollment Specialist is responsible for requesting participation for providers in and with health plans to minimize the possibility of delay or non-payment of claims for services rendered by practitioners.
A Provider Enrollment Specialist who excels in this role:
- Performs job functions satisfactorily with or without accommodations
- Completes CAQH credentialing for new providers
- Follows up with payers on effective dates, status updates, and identification numbers
- Completes applications, re-credentialing, and demographic updates for payers
- Researches payer processes and provider enrollment status
- Updates and maintains CAQH database with provider information from Market Director
- Inputs and maintains provider data, including demographics, medical documentation, and comments
- Maintains updated licenses and adds provider locations and groups
- Monitors provider files for pending enrollments and requests missing documents
- Performs administrative tasks: processes applications, uploads documents, enrolls providers, and researches payer processes
- Communicates updates to market contacts and resolves payer enrollment issues
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
- Comprehensive Benefits: Multiple levels of medical, dental, and vision coverage-tailored benefit options for part-time and PRN employees, and more
- Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave, and paid time off
- Financial & Career Growth: Higher education and certification tuition assistance, loan assistance, and 401(k) retirement package with company match
- Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services, and discount programs)
- Professional Development: Ongoing learning and career advancement opportunities
What we're looking for
Applicants should meet the following qualifications:
- Education: High School Diploma or GED equivalency
- Experience: Minimum of 2 years in an Insurance Payer Background and/or Provider Enrollment role required.
EEOC Statement
Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Employment Sponsorship Statement
You must be work authorized in the United States without the need for employer sponsorship.
