Provider Enrollment Specialist jobs in United States
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Medix · 1 day ago

Provider Enrollment Specialist

Medix is a company dedicated to providing workforce solutions across various industries. They are seeking a Provider Enrollment Specialist to manage payer enrollments and support medical groups in Indiana and Michigan.

MedicalPharmaceuticalWholesale

Responsibilities

Complete payer enrollments for providers post-credentialing
Support Indiana and Michigan medical groups (different payers by region)
Complete insurance and government applications
Manage and update CAQH profiles
Apply for and maintain NPPES identifiers
Maintain accurate enrollment data and generate reports
Escalate delays or non-compliance issues
Support Patient Accounts with claims/network issues

Qualification

NCQA standards knowledgeProvider enrollment experienceMD-Staff credentialing softwareEnrollment-side experienceDetail-oriented

Required

High School Diploma or GED required
Ideally 3+ years of experience (open to slightly less for strong candidates)
Experience with providers (MDs, DOs, DEAs, licenses, CSR, residencies, etc.)
Knowledge of NCQA standards and credentialing regulations
Ability to work independently in a heads-down, detail-heavy role

Preferred

MD-Staff credentialing software experience (not required)
Associate's Degree in Business, Health Administration, or related field
Enrollment-side experience
Exposure to CVO environments

Benefits

Medical, dental, vision
Retirement plan
Gym discounts
EAP program
PTO

Company

At Medix Distribution, we have designed solutions to meet the medical needs for the betterment of society as a whole.

Funding

Current Stage
Early Stage
Company data provided by crunchbase