Provider Enrollment Specialist jobs in United States
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HCA Healthcare · 2 hours ago

Provider Enrollment Specialist

HCA Healthcare is an organization that invests in its team members, including the role of Provider Enrollment Specialist. This position is responsible for processing enrollments for providers and ensuring compliance with enrollment processes while maintaining data integrity and resolving application denials.

BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care
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H1B Sponsor Likelynote

Responsibilities

Ensure provider participation with contracted payors by taking appropriate next actions to complete enrollment, such as completing applications, rosters, and notifications
Monitor inventory
Escalate items to other areas outside of department as needed
Work with payors and providers to ensure compliance with enrollment process
Initiate contact with payors and practices via telephone or electronic methods with respect to provider enrollment and billing errors, utilizing proper customer service protocol
Update and maintain data inappropriate Provider Enrollment systems while ensuring accuracy and data integrity
Review correspondence received and perform appropriate action to resolve
Appropriately resolve or escalate payor application denials
Meet and maintain established departmental performance metrics for production and quality

Qualification

Medicare/Medicaid EnrollmentManaged Care EnrollmentNPPES KnowledgeCAQH KnowledgeCustomer Service

Preferred

Minimum one-year related healthcare experience preferred, such as Medicare/Medicaid Enrollment or Managed Care Enrollment
Relevant education may substitute experience requirement
Knowledge of National Plan and Provider Enumeration System (NPPES) and Council for Affordable Quality Healthcare (CAQH) preferred

Benefits

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Company

HCA Healthcare

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HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.

H1B Sponsorship

HCA Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2022 (2)
2020 (1)

Funding

Current Stage
Public Company
Total Funding
$8.51B
2025-10-31Post Ipo Debt· $3.25B
2025-02-24Post Ipo Debt· $5.25B
2014-06-25Post Ipo Debt· $3.2M

Leadership Team

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Nicholas Manning
Chief Executive Officer
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Nick Lane
Regional Vice President Human Resources
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Company data provided by crunchbase