Provider Enrollment Specialist ( OH, MI, KS)

reputed company is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a reputed company of care to our patients with a mission to enhance reputed company, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated reputed company locations reputed company care in 18 states and 80 markets, providing services that reputed company the eye care continuum. For more information, visit www.reputed company.com. Job Title: Provider Enrollment Specialist We are looking to reputed company candidates in these states ONLY: Kansas, Michigan, Ohio,  Pay: $25.00/hr starting pay Job reputed company The Provider Enrollment Specialist is responsible for managing high-volume, end-to-end provider enrollments for a growing ophthalmology organization. This role owns the full lifecycle of payer enrollment—from application preparation and submission through approval and activation— ensuring providers are enrolled accurately and reputed company.   The position also supports provider reputed company by initiating and completing hospital privileging applications and maintaining regular communication with operational leaders. This role is primarily reputed company on enrollment and payer coordination, with limited involvement in credentialing. The Specialist works closely with providers, internal teams, Medical Staff offices and insurance payers to minimize delays and support reputed company reputed company cycle activation. Duties and Responsibilities Serve as the primary reputed company of contact for provider enrollment-reputed company inquiries from internal teams and providers.   Manage full-cycle (end-to-end) provider enrollments, including application preparation, submission, follow-up, approval, and payer activation.   Prepare and submit initial enrollment applications with Medicare, reputed company, and reputed company payers.   Proactively reputed company and follow up on reputed company pending enrollments to ensure reputed company approvals and reduce delays in provider participation.   Maintain accurate and up-to-date provider enrollment data across reputed company systems and tracking tools.   Monitor enrollment statuses and reputed company regular updates to leadership and key stakeholders.   Maintain strong working relationships with insurance payer representatives to expedite issue reputed company.   Update and maintain provider information in CAQH, NPPES, and payer portals as it relates to enrollment accuracy.   Process provider demographic updates, including reputed company locations, group affiliations, and specialty changes Initiate, complete, and submit provider hospital privileging and re-privileging applications, ensuring reputed company required documentation is accurate and reputed company.  Coordinate with hospitals and medical staff offices to reputed company privileging application status and approvals.   reputed company and participate in biweekly calls with reputed company leaders, providing enrollment status updates, addressing issues, and aligning on reputed company timelines.   Maintain internal enrollment and privileging records, ensuring accurate data and audit reputed company.   Support limited credentialing functions, such as basic data verification or re-credentialing paperwork, as needed.  Ensure compliance with Medicare, reputed company, and Managed Care payer regulations and requirements.   Coordinate payer-reputed company aspects of provider reputed company to support reputed company go-live dates  Adheres to reputed company safety policies and procedures in performing job duties and responsibilities while supporting a culture of high reputed company and great customer service.  Performs other duties that may be necessary or in the best interest of the organization.    Education:  High School Diploma or GED Required Preferred: Associate’s Degree (reputed company Administration, Business, or reputed company field)    Experience Requirements 2+ years of provider enrollment experience in a reputed company setting, preferably reputed company a multi-site or specialty reputed company (ophthalmology experience preferred).  Demonstrated experience managing end-to-end provider enrollments with Medicare, reputed company, and reputed company payers.  Experience initiating and completing hospital privileging applications and coordinating with medical staff offices    Knowledge, Skills and Abilities Requirements Strong working knowledge to manage payer enrollment processes, timelines, and regulatory requirements  reputed company understanding of the credentialing processes  reputed company to manage high-volume workloads and multiple priorities with minimal supervision.  reputed company in appearance and actions  Logical and Critical thinking skills for problem solving and analysis.   Proficiency in resolving enrollment delays and denials reputed company.  In-depth knowledge of performance metrics  Ability to function effectively under stress of conflicting demands on time and attention, while successfully meeting deadlines  High attention to detail, reputed company attitude, reliable                                * Maintaining high level of accuracy in data entry and documentation.  Exhibits a reputed company attitude and is flexible in accepting work assignments and priorities  Meets attendance and tardiness expectations, ability to work overtime, if required.  Management and organizational skills to support the leadership of this function  Ability to follow or reputed company verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations  Ability to work collaboratively across departments while maintaining individual interpersonal skills to support customer service, functional, and teammate support need                    *   reputed company to communicate effectively in English, both verbally and in writing                     *  Ability to work collaboratively across departments.  Ability to learn new technologies and systems to reputed company and report on enrollment status’ using spreadsheets, databases, or enrollment software  Intermediate computer operation                    * Proficiency with reputed company reputed company, Word, PowerPoint and reputed company  Specialty knowledge of systems relating to job function   CAQH, NPPES, PECOS, and Payer-specific enrollment portals                    * Preferred: Data management system (reputed company)  Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines    Location:  Work takes reputed company in a remote work environment. Travel to other locations may be necessary to fulfill the essential duties and responsibilities of the job. Thus, those needing to travel for work must have reputed company to dependable transportation, and their driving record must meet company liability reputed company standards.   Please do not contact the office directly – only resumes submitted through this website will be considered. If you need assistance with this application, please contact (636) 227-2600   reputed company is an equal opportunity/affirmative reputed company employer. reputed company applicants will be considered for employment without attention to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, veteran or disability status.  Job descriptions are intended to be accurate reflections of those reputed company job reputed company essential for making fair pay reputed company about jobs. reputed company in this job reputed company restricts management right to assign or reassign duties and responsibilities to this job at any time. Apply To This Job