EyeCare Partners · 12 hours ago
Provider Enrollment Specialist
Ballwin,MO
Full-time
Hybrid
Entry, Mid Level
$25/hr - $25/hr
2+ years expEyeCare Partners is the nation’s leading provider of clinically integrated eye care, with a mission to enhance vision, advance eye care, and improve lives. They are seeking an experienced Provider Enrollment Specialist to manage multiple enrollments and support the Supervisor of Provider Enrollment.
Hospital & Health Care
Responsibilities
Enroll providers with payers by providing information to the payers as applicable. This includes Medicare, Medicaid, commercial plans, and MCOs
Complete required documentation and applications for credentialing, recredentialing and privileging providers at assigned hospitals/ facilities
Serve as the first point of contact for internal office and provider requests
Maintain a database for provider credentialing and update the applicable software/ systems as needed to ensure all provider enrollment data is up-to-date and current
Keep CAQH updated with accurate and current information
Keep NPPES updated with accurate and current information
Maintain constant contact with insurance payer representatives
Communicate effectively any enrollment updates and issues to leadership
Follow up with payers on outstanding enrollments on a weekly basis
Maintain all demographic changes for all providers
Maintain all hospital appointments and re-appointments
Maintain and renew provider expirables (medical license, DEAs, board certification, malpractice insurance, etc.)
Qualification
Required
MUST LIVE IN ONE OF OUR 18 States: Missouri, Florida, Kansas, Kentucky, Pennsylvania, Virginia, New Jersey, Texas, Minnesota, Michigan, Oklahoma, Alabama, North Carolina, Georgia, Illinois, Ohio, Indiana, Arizona
High School Diploma or GED Required
2+ years of related experience or training, equivalent combination of education and experience will be considered
Professional in appearance and actions
Logical and Critical thinking skills for problem solving and analysis
In-depth knowledge of performance metrics
Customer-focused with excellent written, listening and verbal communication skills
Ability to maintain control of a call de-escalating issues and instilling confidence that a resolution will be found
Ability to function effectively under stress of conflicting demands on time and attention, while successfully meeting deadlines
Enjoys learning new technologies and systems
Detail oriented, professional attitude, reliable
Exhibits a positive 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 provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations
Interpersonal skills to support customer service, functional, and teammate support need
Able to communicate effectively in English, both verbally and in writing
Ability for basic to intermediate problem solving, including mathematics
Intermediate computer operation
Proficiency with Microsoft Excel, Word, PowerPoint and Outlook
Specialty knowledge of systems relating to job function
Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines
Proficient computer skills, particularly in Microsoft
Good understanding of insurance payers and enrollment methods
Ability to diagnose and resolve basic enrollment issues
Excellent organizational skills
Desire to gain industry knowledge and training
Demonstrates initiative in accomplishing goals
Ability to grow, adapt, and accept change
Consistently creating a positive work environment by being team-oriented
Excellent verbal, written, and social skills
Ability to work overtime if/when needed
Company
EyeCare Partners
At EyeCare Partners, we are on a mission to reinvent eye care by creating a network of optometry and ophthalmology practices that bring together a wealth of expertise, resources and knowledge.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Mitchel Jones
Division CFO - Optometry
Nicholas Anguish
Division Chief Financial Officer - Ophthalmology
Recent News
2025-10-07
2025-08-21
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2025-08-19
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