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 DO
Prepare 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
WHAT WE ARE LOOKING FOR
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
NICE TO HAVE
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 AND BENEFITS
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 PROCESS
Application review → introductory conversation → hiring manager interview → offer.
EQUAL OPPORTUNITY
Raventra 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
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