Provider Enrollment Specialist

Location: Remote (LATAM or Philippines Preferred)

Salary Range: 2100 - 2300 USD/month

Work Schedule: Monday to Friday, 08:00 AM – 04:30 PM (CST)

NOTE: INDEPENDENT CONTRACTOR POSITION

Company Overview:

Sagan is an exclusive membership community for top executives, founders, and CEOs seeking to hire and maximize the impact of international talent. We bridge the gap between global talent and U.S.-based businesses, connecting candidates from regions like Latin America, the Philippines, India, Pakistan, Bangladesh, and Africa with leading American companies. Sagan provides a high-performance remote work environment, ensuring access to world-class opportunities for top-tier professionals.

About the Company:

Sagan represents a growing healthcare organization supporting a large network of providers and clinical locations across the United States. The company is focused on operational excellence, regulatory compliance, and delivering efficient provider onboarding and enrollment processes.

Position Overview:

The Provider Enrollment Specialist will be responsible for managing provider enrollment activities, supporting credentialing initiatives, maintaining compliance documentation, and ensuring timely payer enrollments. This role plays a critical part in maintaining provider participation with commercial, Medicare, and Medicaid payers while supporting organizational growth and operational efficiency.

Key Responsibilities: 

• Prepare, submit, and manage provider enrollment applications with commercial, Medicare, and Medicaid payers.
• Track and monitor enrollment statuses through completion.
• Follow up with payers to resolve application issues and expedite approvals.
• Support provider credentialing and recredentialing activities.
• Maintain accurate provider records within credentialing and enrollment systems.
• Manage CAQH profiles and ensure provider information remains current.
• Track provider licenses, DEA registrations, certifications, and other expirables.
• Review enrollment and credentialing documentation for accuracy and completeness.
• Coordinate with internal stakeholders to obtain required information and supporting documents.
• Maintain enrollment reports, databases, and compliance records.
• Assist with audits and regulatory documentation requests.
• Ensure adherence to payer requirements and healthcare compliance standards.

Qualifications: 

• Minimum 2 years of provider enrollment experience within the U.S. healthcare industry.
• Experience managing provider enrollments with commercial, Medicare, and Medicaid payers.
• Strong knowledge of payer enrollment processes and requirements.
• Proficiency in Microsoft Excel and Microsoft Word.
• Excellent organizational skills and attention to detail.
• Strong written and verbal English communication skills.
• Ability to manage multiple deadlines and priorities in a fast-paced environment.
• Experience maintaining provider records, applications, and compliance documentation.

Nice-to-Haves:

• Experience with credentialing software platforms.
• Experience supporting multi-location healthcare organizations.
• Medicare and Medicaid enrollment expertise.
• NAMSS or CPCS certification.
• Knowledge of provider credentialing and recredentialing processes.
• Experience working with large provider networks or healthcare groups.