Healthcare Enrollment Specialist
Professional Summary The Provider Enrollment Specialist plays a critical role in ensuring healthcare providers are properly enrolled and credentialed with Medicare, Medicaid, and commercial insurance payors. This position requires a detail-oriented professional with strong organizational skills and a solid understanding of healthcare insurance processes. The ideal candidate will have experience with CAQH, provider enrollment, and credentialing, and will be adept at managing multiple tasks in a fast-paced environment.
Key Responsibilities
- Prepare and submit enrollment and re-enrollment applications for healthcare providers to Medicare, Medicaid, and commercial insurance plans.
- Maintain accurate and up-to-date provider records in internal databases and payer portals.
- Track application statuses and follow up with payers to ensure timely processing and resolution.
- Collaborate with providers and credentialing staff to gather necessary documentation and resolve discrepancies.
- Monitor and manage re-credentialing and revalidation timelines to ensure uninterrupted provider participation.
- Respond to inquiries from providers and internal departments regarding enrollment status and requirements.
- Assist with audits and reporting related to provider enrollment and credentialing activities.
Qualifications
- High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration or related field preferred.
- 1–2 years of experience in provider enrollment, credentialing, or healthcare administration.
- Strong understanding of Medicare, Medicaid, and commercial insurance enrollment processes.
- Proficiency with CAQH and payer portals.
- Excellent attention to detail and data entry skills.
- Strong organizational, communication, and problem-solving abilities.
- Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
- Prior experience in healthcare or insurance industry required.
Pay and Benefits The pay range for this position is $23.00 - $23.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Nov 7, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. Apply tot his job Apply To this Job