enrollment specialist

Virginia Farm Bureau Family of Companies

<div>
 
 Position Summary
 
 
 
 Evaluate insurance applications and submissions for completeness; determine acceptance or need for further evaluation; and process within 48 hours. Provide additional administrative assistance as required.
 
 
 
 Primary Duties
 
 
 
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 Receive and process enrollment transactions in the CareFirst HUB portal. Requests may come direct or be pulled from department enrollment inbox.
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 Review all transactions for compliance, timeliness and accuracy prior to processing.
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 Ensure accuracy and return errors to be corrected.
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 Process enrollment requests for other carriers as required. EBCA ability to process transactions for additional carriers such as Anthem, Sentara, etc. is continuing to grow and will require increased processing for this role.
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 With EBCA increased role in Employee Navigator processes, Enrollment Specialist will take lead on Employee Navigator group implementation and set up, and subsequent enrollments.
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 Provide internal and external customer service.
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 Ensure compliance, timeliness and documentation issues are addressed for transactions pulled monthly by Audit by CareFirst.
 
 
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 Additional Duties
 
 
 
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 Additional administrative duties as required, to support Enrollment Dept.
 
 
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 Minimum Educational/Experience Qualifications
 
 
 
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 High School Diploma or equivalent work experience
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 Minimum one year general administrative experience
 
 
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 Minimum Skill Qualifications
 
 
 
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 Strong attention to detail orientation
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 Initiative
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 Highly proficient in MS Office
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 Effective in both verbal and written communications
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 Excellent organizational skills
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 Proven customer focus
 
 
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 Preferred Qualifications
 
 
 
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 Prior health insurance experience preferred but not required.
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</div>

Enrollment Specialist

Infoorigin Inc

<ul><li>Job Title: Medicaid Enrollment Specialist (Onsite)</li><li>Duration : long-term contract</li><li>Location : Indianapolis, IN</li><li>Interview : In person only</li></ul>Summary: Responsible for enrolling IV-E eligible children in Medicaid within the Medicaid Enrollment Unit. Processes enrollment forms, updates case management systems, reports placement changes, and ensures accurate Medicaid coverage for wards.Key Responsibilities:<ul><li>Review daily Medicaid Enrollment Reports for all 92 counties and assign correct Medicaid categories.</li><li>Complete enrollment updates in IEDSS and MaGIK systems.</li><li>Submit transmittal forms and report placement changes to DFR.</li><li>Request Medicaid cards for eligible wards.</li><li>Ensure proper coding (ward status, authorized representative, correct Medicaid category, and coverage timeframe).</li></ul>Required Qualifications:<ul><li>High School Diploma</li><li>1+ year experience in Medicaid enrollment or beneficiary services</li><li>1+ year experience handling HIPAA/confidential information</li><li>Proficiency in Microsoft Word, Outlook, PowerPoint, and Excel</li><li>Ability to multitask, prioritize, meet deadlines, adapt to change, and maintain confidentiality</li></ul>Preferred Qualifications:<ul><li>Knowledge of Federal IV-E Foster Care, Adoption, and Medicaid programs</li><li>1+ year experience with IEDSS</li><li>Working knowledge of MaGIK and KidTraks</li></ul>Job Type: ContractPay: $20.00 - $22.00 per hourWork Location: In person

Medicaid Enrollment Specialist

Ascendo Resources

<div>
 
 🌟Medical Application Enrollment Representative
 
 
 
 
 
 
 
 Start Date: April 27th, 2026 - Please only apply if comfortable with start date
 
 
 
 
 
 
 
 Are you detail-oriented, organized, and passionate about healthcare? Do you thrive in a structured, professional environment where accuracy and compliance are key? If so, this is your chance to join a team that plays a critical role in maintaining the integrity of Medicare Provider files!
 
 
 
 
 
 We are seeking a Medical Application Enrollment Representative to ensure provider applications are accurate, compliant, and processed efficiently. This is a
 
 full-time position
 
 with paid
 
 virtual training
 
 , followed by a rewarding career in provider enrollment.
 
 
 
 
 
 🌟 Why You&rsquo;ll Love This Role
 
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 Paid training (10&ndash;12 weeks) to prepare you for success
 
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 Opportunity to work independently while making a direct impact on healthcare operations
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 Flexible scheduling available post-training once proficiency is achieved
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 Professional development within a supportive, compliance-focused environment
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 🏢 Training &amp; Schedule
 
 
 
 Training (Virtual):
 
 
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 Monday &ndash; Friday, 8:00 AM &ndash; 4:30 PM EST
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 Full attendance is required; time off during training is not permitted
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 Training is conducted virtually and requires active participation, camera on, and a professional environment
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 Post-Training Schedule:
 
 
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 Monday &ndash; Friday during core hours of operations
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 Shifts may begin as early as 6:30 AM and end as late as 6:00 PM EST
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 Minimum of 4 hours per day must be within core hours (9:00 AM &ndash; 3:00 PM EST)
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 Flexible scheduling may be available after training and the grace period, based on performance
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 🛠 What You&rsquo;ll Do
 
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 Process provider applications and ensure compliance with CMS regulations
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 Obtain additional information from providers via phone or in writing
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 Research and validate submitted information
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 Review supporting documentation and make final recommendations
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 Create and update enrollment records in applicable systems
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 Establish Electronic Funds Transfer (EFT) for provider Medicare payments
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 Respond to application-specific or general provider enrollment inquiries
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 Attend trainings, department meetings, and complete assigned projects as needed
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 ✅ Required Qualifications
 
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 High school diploma or GED
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 1+ year of customer service experience or equivalent computer-based work experience
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 Proficiency with PCs and Microsoft Office (Word, Excel, Outlook)
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 Strong written and verbal communication skills
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 Attention to detail, organization, and time management skills
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 Demonstrated problem-solving and research ability
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 Preferred:
 
 
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 Provider enrollment experience
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 Experience in a production environment meeting quality requirements
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 ⚠️ Background &amp; Security Requirements
 
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 Pre-employment background check, drug screen, and identity proofing required
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 Must meet federal identity and security requirements for access to CMS systems
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 Continued employment contingent upon meeting additional government security and background requirements
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 💻 Telework &amp; Equipment
 
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 Professional home distraction free workspace required
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 Company equipment provided (dual monitors, computer, keyboard, mouse, flip phone)
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 Reliable home internet required: 50Mb/s download, 10Mb/s upload minimum
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 🌟 Ready to Apply?
 
 
 
 If you&rsquo;re meticulous, tech-savvy, and ready to take your career to the next level in healthcare administration,
 
 we want to hear from you!
 
 
 
 
 
 
 
 Apply today
 
 and become a vital part of a team dedicated to accuracy, compliance, and excellence in provider enrollment.
 
 
 
 
 
 
 
 
 
 Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity.
 
 
 
 
 Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law.
 
 
</div>

Medical Enrollment Specialist

ENGLISH LAND Institute

Our language institute in Cumhuriyet-Esenyurt is hiring a results-driven Sales &amp; Enrollment Specialist who can convert inquiries into registered students.If you cannot sell, please do not apply.Your Mission:<ul><li>Convert incoming calls, WhatsApp, and social media inquiries into enrollments</li><li>Follow up consistently with potential students</li><li>Conduct face-to-face consultations and close registrations</li><li>Manage contracts, payments, and enrollment documentation</li><li>Achieve monthly enrollment targets</li></ul>Requirements:<ul><li>Fluent in Turkish and English (mandatory)</li><li>Strong persuasion and objection-handling skills</li><li>Goal-oriented and comfortable working with targets</li><li>Confident on the phone and in person</li><li>Highly disciplined and results-driven</li><li>Sales experience preferred (education sector is a plus)</li></ul>We are looking for performance, not excuses.Compensation:<ul><li>Base salary</li><li>Commission per enrolled student</li><li>Performance bonuses</li></ul>Job Type: Full-timePay: 35,000.00TRY - 45,000.00TRY per month

Education Sales & Enrollment Specialist

The Garden of Eve

Job Title:Credentialing SpecialistWho We Are7 KINGS CODE is US based Software solutions company. We support our partners and clients globally in USA, CANADA, EUROPE, INDIA, PAKISTAN &amp; MIDDLE EAST.Education &amp; Experience Required:<ul><li>Bachelor&rsquo;s degree in healthcare administration, business, or a related field preferred. Equivalent experience may be considered.</li><li>4+ years of experience in credentialing, enrolment, or related roles in the medical billing industry.</li></ul>Skills Required:<ul><li>Solid experience in credentialing of Clinics and Labs</li><li>Familiarity with Medicare, Medicaid, and commercial payer enrolment processes.</li><li>Proficiency in credentialing software and tools (e.g., CAQH ProView, PECOS).</li><li>Strong knowledge of medical billing processes and insurance verification.</li><li>Familiarity with HIPAA and other healthcare regulations.</li></ul>Job Location: Onsite, DHA Phase 8 - Ex Park View, Lahore.Job Timings: PAK TIME: 5:30PM to 02:30AMApply with your latest cv at: hr@7kingscode.comJob Type: Full-timeAbility to commute/relocate:<ul><li>Lahore: Reliably commute or planning to relocate before starting work (Required)</li></ul>Education:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>Credentialing of Clinics and Labs: 4 years (Required)</li></ul>Work Location: In personJob Type: Full-timePay: Rs100,000.00 - Rs150,000.00 per monthWork Location: In person

Credentialing & Enrollment specialist

Food Allergy Institute

<div>Job Title: Inside Health Sales (Enrollment Specialist) 
 
Location: Long Beach, CA 90815<div>
Hours: Full Time; M-F 8:00AM-5:00PM (Onsite)</div><div></div><div> 
Pay: $52,000 - $81,000 annually (hourly + monthly bonus incentive)</div> 
Who are we looking for?
We are currently seeking an adaptable, compassionate, and dynamic individual to join our food allergy clinic as an Inside Health Sales (Enrollment Specialist). The core responsibility of the role is to assist patients or parents of patients as they navigate our enrollment process to becoming a client. You will serve as a subject-matter expert for the program, answering questions for prospective parents of patients as well as following up with families that have previously enrolled.
Essential Functions:<ul><li>
Demonstrate a positive and resourceful approach to problem-solving, bring fresh ideas to the table, ability to manage complexity with deadlines, ability to maintain confidentiality, and excited about expanding our impact through communications.</li><li>
Serves as subject-matter expert for the Food Allergy Institute's Tolerance Induction Program and the enrollment process.</li><li>
Manage incoming &amp; make outbound inquiries to parents of patients explaining the effectiveness of our program and its potential impact.</li><li>
Develops strong relationships with prospective parents of patients to build trust and rapport.</li><li>
Accurately documents interactions with prospective patients to ensure timely and appropriate follow-up communication.</li><li>
Assist other personnel and departments with data collection and problem solving.</li><li>
Other responsibilities as assigned.</li></ul><div></div><div> 
Qualifications:</div> 
<div></div><ul><li>
A passion to serve our patients and their families as they seek to achieve their &ldquo;food freedom&rdquo; goals.</li><li>
High School Diploma or equivalent required.</li><li>
2+ years of inside health sales experience or relevant health office experience, such as elective procedure sales, aesthetic sales, or health/wellness program enrollment preferred, Applicable inside sales experience from retail, hospitality and/or wellness will also be considered.</li><li>
Strong presentation skills.</li><li>
Customer service or sales experience preferred.</li><li>
High level capacity to multitask independently and on a computer.</li><li>
Excellent typing skills.</li><li>
Excellent written and oral communication skills.</li><li>
Ability to perform in a high volume, fast paced call center environment.</li><li>
Proven ability to work independently as well as a productive member of a team.</li><li>
Exceptional organizational and time-management focus.</li></ul> 
Employee Benefits:
We offer a comprehensive benefits package, including competitive salary, 401(k) with employer match, medical, dental, and vision insurance, generous paid time off, company-paid holidays, and sponsored employee events. We are also committed to your professional development with individualized training and career growth opportunities.
About Us:
Founded in 2015, the Food Allergy Institute (FAI) is a cutting-edge research and clinical care center revolutionizing food allergy treatment among the pediatric population. Our Tolerance Induction Program&trade; is the first of its kind, bringing patients to the point where they can eat whatever they want, whenever they want, without having to worry about any kind of reaction. The success of FAI is built on years of development involving proprietary biomarkers, data analytics and modeling systems which allow unique patient specific therapy to be deployed in the clinic setting and at home safely.
Why Join FAI?
The Food Allergy Institute (FAI) is home to innovative thinkers, problem solvers, and passionate leaders who are transforming the world of food allergy treatment. Our work is life-changing for patients and their families, and every member of our team plays a vital role in supporting our mission.
With over 180 employees, Our diverse team includes Physicians in the specialties of Pediatrics, Pulmonary, Allergy &amp; Immunology, Emergency Medicine, as well as Nurse Practitioners, Physicians Assistants, and a PhD level research team. In the food allergy world, the growth of FAI is unique in reflecting the effectiveness of its treatment approach and the supportive environment fostered by its team of professionals.
At FAI, you'll be part of a team dedicated to making a real impact. We provide access to cutting-edge technology, offer competitive salaries, comprehensive benefits, and endless opportunities for professional development and career growth. Join us in transforming food allergy care and be inspired to make a difference.<div>
FAI provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, veteran status, or any other consideration made unlawful by federal, state, or local laws. FAI is committed to providing reasonable accommodation for qualified applicants, and employees with disabilities to ensure they enjoy equal access to all employment opportunities and benefits of employment as required by the Americans with Disabilities Act.</div></div>

Inside Health Sales (Enrollment Specialist)

Rogers Behavioral Health

<div>The Credentialing Specialist is primarily responsible for activities impacting facility and practitioner external provider enrollment and credentialing; this includes all network application and maintenance processes that impact facilities and applicable practitioners employed or contracted by Rogers Memorial Hospital, Inc.
 
 
In all activities, the Credentialing Specialist must remain aware of and comply with legal, regulatory, and financial policies and procedures. The Credentialing Specialist is in regular contact with payer strategies, medical office staff, financial services, physicians/ practitioners, and contracted payer staff. The Credentialing Specialist is responsible for maintaining up-to-date file information on payer enrolled practitioners in multiple systems, answering inquiries regarding a provider&rsquo;s network status, and collaborating with colleagues to ensure the accuracy of facility contracted networks and affiliations. 
 
The candidate must live in one the following states: WI, CA, GA, FL, MN, IL, CO, PA, TN, or WA<h2 class="jobSectionHeader">
Job Duties &amp; Responsibilities:</h2>
Provider Enrollment Application Processing<ul><li>
Maintain understanding of RBH Privacy Practices, HIPAA, Medical Staff standards, state and federal= requirements, and other applicable corporate and departmental policies.</li><li>
Responsible for facility and practitioner enrollment activities, maintaining up to date file information in multiple systems, answering inquiries related to network status, collaborating with colleagues to ensure accuracy of facility contracted networks and affiliations</li><li>
Recommend policy and procedural updates as applicable</li><li>
Maintain standard outreach to on-boarding medical staff providers detailing initial and ongoing provider= enrollment requirements</li><li>
Maintain knowledge of all data and document locations required as part of the enrollment process</li><li>
Maintain knowledge of standard work detailing contracted payer provider credentialing processes for all exclusive contracts.</li><li>
Communicate accurate RBH location and demographic information</li><li>
Populate and maintain both facility and provider level information in the CAQH system</li><li>
Enroll and maintain facilities and practitioners in all appropriate contracted health plans</li><li>
Enroll practitioners with government payers using electronic application methods such as PECOS and portals</li><li>
Populate credentialing software with timely and accurate provider status and affiliation information</li><li>
Monitor and disseminate affiliation, application and revalidation status upon request and as applicable</li><li>
Maintain privacy and confidentiality at all times.</li></ul>
Payer Strategies_ Internal<ul><li>
Establish and maintain positive and cooperative working relationship with Payer Strategies team</li><li>
Remain aware of contractual adjustments that may impact provider affiliations and/or payment</li></ul>
Patient Financial Services _ Internal<ul><li>
Establish and maintain positive and cooperative working relationship with all Patient Financial Services team= professionals</li><li>
Populate and maintain Symplr Provider information referenced by PFS staff to investigate and appeal= professional claim denials</li><li>
Establish and provide ongoing assist with PFS staff Symplr Provider logins</li></ul>
Contracted Payer Groups _ External<ul><li>
Regular written and verbal communications with payer group representatives at multiple levels</li><li>
Respond to all applicable payer outreach for information and/or clarification</li></ul>
Other Duties and Responsibilities<ul><li>
Complete projects as assigned by Credentialing Manager</li><li>
Regular assistance with and dissemination of payer communications impacting other departments</li><li>
Participate in process improvement events and activities</li><li>
Serve as a back-up to other Payer Strategies positions on an as-needed basis.</li><li>
Assist in promoting a team atmosphere by treating individuals with respect and honesty and by using direct= communication and active listening skills.</li></ul>
Additional Job Description:<div><h2 class="jobSectionHeader">
Qualifications / Required:</h2></div><ul><li>
Associate&rsquo;s degree or 2 years' experience</li><li>
Administrative skills, including computer/word processing</li><li>
Computer proficiency, adaptability and working knowledge of Microsoft Office, Adobe and Excel</li><li>
Exceptional critical thinking skills and sound judgement</li><li>
Exceptional written, verbal, and auditory skillset</li><li>
Ability to perform all essential job functions either on site or remotely</li></ul><h2 class="jobSectionHeader">
Qualifications / Preferred:</h2><ul><li>
Working knowledge of credentialing accreditation regulations, policies and procedures, and NCQA standards</li><li>
General understanding of health insurance plans, provider enrollment processes, payer contracting and remittance processes, and HIPAA and healthcare compliance</li><li>
Familiarity with practitioner billing and claims payment system requirements as related to practitioner enrollment</li><li>
Symplr Experience</li><li>
Experience with CAQH (Council for Affordable Quality Healthcare) database and application process</li><li>
Prior professional history in a medical or mental health setting</li><li>
NAMSS/CPCS Certification</li></ul>
With a career at Rogers, you can look forward to a Total Rewards package of benefits, including:<ul><li>
Health, dental, and vision insurance coverage for you and your family</li><li>
401(k) retirement plan</li><li>
Employee share program</li><li>
Life/disability insurance</li><li>
Flex spending accounts</li><li>
Tuition reimbursement</li><li>
Health and wellness program</li><li>
Employee assistance program (EAP)</li></ul>
Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)</div>

Credentialing Specialist

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