Provider Enrollment Specialist - Remote Work Available to MN, ND or SD Appl at LAKE REGION HEALTHCARE

Fergus Falls, Minnesota, United States -

Full Time

Start Date

Immediate

Expiry Date

25 Mar, 26

Salary

31.62

Posted On

25 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Provider Enrollment, Credentialing, Revalidation, Compliance, Denial Resolution, Billing, Revenue Cycle, Communication, Medical Coding, Medical Billing, Record Maintenance, Insurance Management, Patient Estimates, Root Cause Analysis, Corrective Actions, Collaboration

Industry

Hospitals and Health Care

Description

Job Details Job Location: Lake Region Healthcare Corporation - FERGUS FALLS, MN 56537 Position Type: 80 Hours Biweekly Salary Range: $24.70 - $31.62 Hourly Job Category: Coding - Remote 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.

Responsibilities

The Provider Enrollment Specialist manages and coordinates the enrollment, credentialing, and revalidation of healthcare providers with payers. This role ensures compliance with payer and regulatory requirements to support timely reimbursement and patient care.