[Hiring] Provider Group Enrollment Specialist @Radiology Partners

Role Description

Prepare and submit Medicare and state Medicaid enrollment applications, including initial enrollments, revalidations, and updates. Gather and validate required provider and group practice documentation to ensure application accuracy and completeness. Manage and track enrollment application status, follow up with payers, and resolve delays or submission issues. Process and maintain Changes of Ownership (CHOWs), Changes of Information (COIs), and accurate provider enrollment records in accordance with CMS and state requirements. Coordinate and ensure compliance by collaborating with internal teams, responding to payer inquiries, monitoring regulatory updates, and supporting internal and external audits.

Qualifications

• High school diploma or equivalent required; Associate’s or Bachelor’s degree in Healthcare Administration, Business, or a related field preferred.
• 1–3 years of experience in healthcare provider enrollment, credentialing, or a related administrative function preferred.
• Working knowledge of Medicare and Medicaid enrollment processes, CMS 855 forms, PECOS, and at least one state Medicaid portal.
• Proficiency in preparing, submitting, and tracking enrollment applications, managing deadlines, and maintaining accurate provider records.
• Strong attention to detail, organization, time management, written and verbal communication, analytical problem-solving, and the ability to work independently and collaboratively.

Benefits

• Competitive Benefits package – Eligibility starts the month after hire, with tiered options to choose from.
• Compensation Reviews, Career Growth Opportunities.
• Flexible Remote Schedules.
• Generous PTO Plans and Paid Holidays.
• Proudly Certified as a Great Place to Work for Five Consecutive Years.

Company Description