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Salary Range $24.70 - $31.62 Hourly

Position Type 80 Hours Biweekly

Category Coding - Remote

Description

Remote work is available for candidates in Minnesota, North Dakota or South Dakota, only.

The Provider Enrollment Specialist is responsible for managing and coordinating the enrollment, credentialing, and revalidation of healthcare providers with government and commercial payers. This role ensures providers are accurately enrolled, maintained, and compliant with payer, regulatory, and organizational requirements to support timely reimbursement and uninterrupted patient care. In addition, the Specialist supports denial resolution efforts related to enrollment and credentialing issues, working collaboratively with billing, revenue cycle, and payer representatives to identify root causes and implement corrective actions. The Provider Enrollment Specialist serves as a key liaison between providers, payers, and internal departments, maintains accurate and up-to-date enrollment records, monitors participation status, and performs other related duties as assigned to support operational and financial goals.

Duties include but are not limited to:

+ Initial Enrollment of all providers with all health plans.

+ Re-enrollment of all providers with all health plans.

+ Termination of providers with health plans.

+ Facility recredentialing with health plans.

+ Facility disclosure of ownership updates and renewals.

+ Annual provider compliance with health plans.

+ Management and maintenance of provider rosters.

+ Assist with patient estimates.

+ Monitor and manage insurance payment variances.

+ Management of denials related to provider enrollment, including appeals.

+ Other duties as assigned.

Hours/Shifts

80 hours biweekly, day shifts, Monday to Friday. Remote work is available for candidates in Minnesota, North Dakota, or South Dakota only.

Compensation

Hourly Wage Range: $24.70-$31.62. Please note that final compensation will be determined based on experience, qualifications and internal equity considerations.

Benefit Offerings

Lake Region Healthcare is pleased to offer a comprehensive benefit program designed to meet your unique needs. This includes medical and dental coverage; HSA, FSA and 401k plans; EAP, life and disability coverage; voluntary accident, critical illness and hospital indemnity coverage; pet insurance, ID theft protection and legal services. For new employees, the effective date of coverage for most plans is the first of the month, following a 30-day waiting period.

EEOC

Lake Region Healthcare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Qualifications

Requirements are representative of minimum levels of knowledge, skills, and/or abilities.

+ Education/Special Skills: Associate's degree in a related field preferred.

+ Successful completion of the pre-employment health screening process is required.

+ Must be able to attend the work site as scheduled. Remote opportunities available for candidates in Minnesota, North Dakota or South Dakota only.

+ Licensure/Certification: None

+ Work Experience: Previous experience in provider enrollment preferred. Medical Coding and/or billing experience preferred.

+ Ability to communicate effectively, in English, both orally and in writing.