Provider Enrollment Specialist

GetixHealth is seeking a Provider Enrollment Specialist to support provider credentialing and recredentialing of applications, monitors application and follow-up as needed to facilitate enrollment for Hospital and/ or Physicians. You would need to be familiar with Provider Enrollment requirements, Medicare and Medicaid portals, and have the ability to work independently.

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Key Responsibilities:

• Complete provider credentialing and recredentialing applications accurately and timely
• Monitor application status and follow up with payers to ensure timely enrollment
• Maintain and update provider data and credentialing records
• Collect and maintain required documentation (licenses, DEA, malpractice, etc.)
• Work within CAQH and payer portals to support enrollment processes
• Communicate effectively with providers and insurance payers
• Ensure compliance with all federal, state, and regulatory requirements
• Maintain strict confidentiality of provider information
• Identify process gaps and provide feedback and recommendations for improvement
• Perform additional duties as assigned

Qualifications:

• High School Diploma or GED (or equivalent experience) required
• Previous experience in provider enrollment, credentialing, or insurance/medical billing preferred
• Familiarity with CAQH and provider enrollment processes
• Strong attention to detail with the ability to research and analyze data
• Proficiency in Microsoft Office and computer systems
• Excellent communication and organizational skills
• Ability to work independently and manage multiple tasks in a fast-paced environment
• Ability to maintain a high level of confidentiality

Work Environment:

• This is a remote position, candidate must pass the internet speed test.
• Ability to lift and/or move 20 pounds with or without accommodation.

 

WHY JOIN GETIXHEALTH?:

Founded in 1992, GetixHealth is a trusted leader in healthcare revenue cycle management, with offices across the U.S. and India. We’re more than revenue cycle experts—we’re a mission-driven team dedicated to helping healthcare organizations improve financial outcomes while delivering compassionate care. With over 2,000 employees, we foster a culture that values professionalism, innovation, and—above all—people.

BENEFITS & INCENTIVES:

• Comprehensive Health Coverage: Enjoy medical, dental, and vision plans available starting after 60 days of full-time employment.
• Life & Disability Insurance: Benefit from basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans.
• 401(k) Plan: Eligible to participate in the company’s 401(k) plan after 6 months of continuous service.
• Paid Time Off (PTO): Start accruing PTO from your very first day of employment.
• Flexible Benefits: Customize your benefits package to fit your personal and family needs.

Note: This job description is not intended to be an exhaustive list of responsibilities or qualifications and may be subject to change based on business needs.

GetixHealth is an Equal Opportunity and E-Verify Employer

Qualifications Behaviors Required Team Player: Works well as a member of a group Dedicated: Devoted to a task or purpose with loyalty or integrity Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well Equal Opportunity Employer
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