Provider Enrollment Specialist

Posted 12 Days Ago
Be an Early Applicant
Hiring Remotely in United States
Remote
20-25 Hourly
Mid level
Artificial Intelligence • Healthtech • Software
The Role
Manage payer enrollment and contracting for providers across Commercial, Medicare, and Medicaid (focus on behavioral health). Serve as primary provider contact, complete and submit applications, maintain contract and enrollment records, and resolve enrollment or contracting issues to ensure compliance with payer requirements.
Summary Generated by Built In

The Role
Assured Health is seeking an experienced Payer Enrollment Specialist to join our Provider Services team, focusing on assisting healthcare providers and provider groups in enrolling and contracting with Commercial, Medicare, and Medicaid payers. This role is a great fit for professionals who are experienced in handling payer applications across multiple lines of business and have a deep understanding of healthcare provider needs.
What You'll Do

  • Facilitate the payer enrollment and contracting process for healthcare providers across Commercial, Medicare, and Medicaid, with a particular focus on behavioral health providers.

  • Act as the primary point of contact for providers navigating payer policies and requirements, ensuring compliance and understanding across all applicable lines of business.

  • Assist providers in completing and submitting Commercial, Medicare, and Medicaid applications accurately and efficiently.

  • Manage detailed records of provider contracts, enrollment details, and correspondence with payers.

  • Address and resolve specific challenges that providers may encounter during the enrollment and contracting process, regardless of payer type.

What We're Looking For

  • Minimum of 3 years' experience in healthcare administration, with specific experience in payer enrollment and provider contracting across Commercial, Medicare, and/or Medicaid.

  • Demonstrated expertise in filling out payer applications with a high degree of accuracy and compliance.

  • Excellent communication and interpersonal skills, capable of managing sensitive provider relationships and complex contract negotiations.

 

Skills Required

  • Minimum of 3 years experience in healthcare administration with specific payer enrollment and provider contracting across Commercial, Medicare, and/or Medicaid.
  • Demonstrated expertise in accurately completing payer applications with strong compliance knowledge.
  • Excellent communication and interpersonal skills for managing provider relationships and complex contract negotiations.
Am I A Good Fit?
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The Company
HQ: Palo Alto, CA
74 Employees
Year Founded: 2024

What We Do

In 2022, the U.S. spent $4.5 trillion on healthcare, about 17.3% of GDP. Administrative costs account for 25% to 30% of that total, fueled by credentialing, insurance enrollments, and essential but manual workflows. We're on a mission to rebuild the operational backbone of healthcare. As AI doubles in capability at the half the price every year, we see a future where provider operations are run by lean teams supported by autonomous, reasoning-capable AI agents. Prior to founding Assured, Varun Krishnamurthy and Rahul Shivkumar built and sold a VC-backed digital health startup. We've lived the operational chaos that comes with scaling a healthcare practice and set out to build the platform we wish we had.

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