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 DOPrepare 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
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
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 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 PROCESSApplication review → introductory conversation → hiring manager interview → offer.
EQUAL OPPORTUNITYRaventra 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
Skills Required
- At least 1 year of experience in provider enrollment, payer enrollment, credentialing, medical billing, or related healthcare administration
- 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 in a fully remote environment
- HIPAA-compliant private workspace
- 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, athenahealth, eClinicalWorks, or other healthcare systems
What We Do
CareerSwift is an AI-powered recruitment and job search automation platform designed for both professionals and growing companies. It streamlines the hiring process through AI-driven resume optimization, intelligent job discovery, and automated candidate screening and interviewing. By utilizing context-aware AI agents, CareerSwift helps job seekers land roles faster and enables companies to identify high-quality talent more efficiently.
