Bradenton, FL
Provider Enrollment Specialist
Bradenton, FL (IN OFFICE POSITION)
Pay Range: $22–$24/hr
Position Summary
The Provider Enrollment Specialist manages the enrollment and credentialing process for facility and professional providers with government and commercial payers. This role ensures timely submission and maintenance of provider participation, supports compliance with regulatory standards, and fosters communication between clinics, providers, and payers.
Essential Duties
Complete and submit insurance enrollment and credentialing applications per organizational, state, and federal requirements
Oversee initial credentialing and re-credentialing for all providers
Track application status and communicate issues or updates to management
Respond to staff and payer inquiries regarding enrollment, documentation, and participation
Obtain signatures and documentation as needed in the field
Maintain confidentiality, uphold organizational values, and support company goals
Perform additional duties as assigned
Skills & Abilities
Strong communication and customer service
Attention to detail and time management
Critical thinking and problem-solving
Ability to multitask and work independently
High ethical standards and empathy
Requirements & Preferences
High school diploma or GED required
2+ years of credentialing or managed care experience preferred
Knowledge of Medicaid, Medicare, and commercial insurance plans
Proficient in data entry and Microsoft Office
Familiarity with medical terminology and insurance billing
Strong organizational and interpersonal skills
Must meet deadlines and maintain patient confidentiality
Physical Requirements
Must be able to sit, stand, walk, and occasionally lift up to 25 lbs
Requires frequent use of hands, vision, and hearing
Occasional travel and fieldwork may be necessary
Must be able to handle stressful situations and maintain professionalism