Provider Enrollment Specialist I

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Job Description

The Provider Enrollment Team is responsible for both the initial licensure and Medicaid and Medicare enrollments for all hospitals, as well as renewals and revalidations.

  • The Specialist I will gain, and demonstrate, an overall knowledge of the licensure requirements for a hospital to operate and will enroll hospitals in both the Medicare and Medicaid programs.
  • This employee serves as a liaison with our hospitals and applicable regulatory agencies throughout the licensure and enrollment processes.
  • The incumbent will perform statutory and regulatory research and interpretation to inform and develop a strategic plan to meet company goals, and will implement the plan to influence agency action.
  • With the final decision of pertinent agencies, the Specialist will develop a filing timeline, coordinate with hospital, regional, and home office leaders to complete necessary filings, and coordinate with agencies, ensuring that hospitals are able to operate as planned.
  • The Specialist will participate in development meetings and calls to keep internal stakeholders apprised of progress, and will work with leaders to resolve any concerns.
  • The incumbent will likewise work with established hospitals to ensure that all licenses are renewed and enrollments are revalidated, preventing any lapse in operations.
  • The Specialist will work with hospital, regional, and home office leaders to ensure that any concerns regarding licensure or enrollments are resolved expeditiously through statutory and regulatory research, the development of strategic plans, and the leveraging of relationships at state agencies.


Job Code: 101257


Education, Training and Years of Experience:

  • Bachelor’s Degree and/or commiserate and relevant provider enrollment experience.
  • Working knowledge of Microsoft Office products, particularly Excel and Word.

Machines, Equipment Used:

  • General office equipment such as telephone, copy machine, fax machine, calculator, computer.

Physical Requirements:

  • Good visual acuity and ability to communicate.
  • Ability to lift, lower, push, pull, and retrieve objects weighing a minimum of 30 pounds including medical supplies and equipment and the transferring and repositioning of patients. Reasonable assistance may be requested when lifting, pushing, and/or pulling is undertaken which exceeds these minimum requirements.

Skills and Abilities:

  • Ability to speak, read, write, and communicate effectively.
  • Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.
  • Ability to work independently without constant supervision.
  • Team player, strong analytical skills and ability to problem solve, strong organizational skills, strong interpersonal communication skills, and demonstrated work ethic.
  • Strong desire to continually learn and self-improve.
  • Ability to think strategically.

Environmental Conditions:

  • Indoor, temperature controlled, smoke-free environment.
  • Handicapped accessible.
  • May work under stressful circumstances at times.

Proficiency or Productivity Standards:

  • Has regular, reliable and predictable attendance and punctuality.
  • Adheres to dress code including wearing ID badge.
  • May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines.
  • May be required to work on religious and/or legal holidays on scheduled days/shifts.
  • May be required to perform other duties as assigned by supervisor.

Address: ,
Schedule: Full-time
Job ID: 2118527