[Hiring] Provider Enrollment Specialist @St. Luke's Health System

Role Description

We are seeking a Provider Enrollment Specialist to join our Provider Enrollment team. As a Provider Enrollment Specialist at St. Luke’s, you’ll be at the forefront of driving safety, quality, and compliance across our clinics, supporting the health system as a whole. You will directly shape how care is delivered — smarter, safer, and more effectively.

This is a fully remote position for residents of Idaho, Oregon, Utah, or Arizona - preferred location, Idaho.

• Coordinate the provider payer enrollment process to ensure compliance as addressed in payer contracts and other regulatory standards.
• Ensure timely enrollment of new providers with 3rd party and government payers; maintain existing active physicians and advanced practice providers.
• Validate up-to-date plan enrollment forms, complete applications, submit and follow up until enrollment is complete.
• Verify accuracy and coordinate entry of new and revised provider information into the database.
• Knowledgeable with Group Entity health plan enrollments, state regulations, and appeal processes.
• Prepare/review group applications based on information provided during acquisitions, Tax ID mergers, etc.
• Monitor all assigned delegated agreement health plan enrollments reports to ensure enrollments are being processed timely.
• Validate status of onboarding providers' enrollments to ensure target start date is met.
• Escalate to management when necessary to meet desired target start date.
• Work closely with the credentialing team to coordinate enrollment efforts and meet appropriate deadlines.
• Maintain existing providers including submission of maintenance forms to update personal and practice demographic data for providers, billing updates, etc.
• Accountable for submitting termination requests to all health plans in a timely manner.
• Serve as a resource to others in the resolution of complex problems and issues.
• Perform other duties and responsibilities as assigned.

Qualifications

• Associate's Degree
• Three (3) years' experience

Requirements

• Provider Enrollment experience (preferred)
• Health Insurance industry experience (preferred)
• Revenue Cycle experience (preferred)

Benefits

• Robust benefits package to support teams both professionally and personally
• Competitive salary and retirement plans
• On-site massages
• On-site counseling via Employee Assistance Program
• Access to the Personify Health Wellness tool
• Formal training and career development offerings