Managed Care Provider Enrollment Specialist - Administrative Experience Required

Responsibilities

• Complete initial provider enrollment, payer enrollment, and revalidation applications on time
• Maintain provider records, credentials, practice locations, services, and payer data
• Coordinate with providers and internal teams to obtain documentation and resolve discrepancies
• Monitor enrollment applications and outstanding items to support timely payer approval
• Audit payer records and provider data to identify errors and protect data integrity
• Prepare managed care reports and tracking tools using Microsoft Excel
• Serve as liaison for external privileging, payer requests, and contractual enrollment requirements
• Research payer policies and translate findings into clear next steps

Requirements

• High school diploma, GED, or equivalent
• Professional administrative, office, data-management, billing, or healthcare experience
• Experience maintaining accurate records and meeting deadlines
• Professional Microsoft Office and Excel experience
• Ability to work independently in a remote environment

Preferred Qualifications

• Healthcare revenue cycle experience, including patient billing and insurance claims
• Provider enrollment, payer enrollment, managed care, or credentialing experience
• Communication with commercial insurers, Medicaid, Medicare, or managed care organizations
• Advanced Excel skills, including formulas, filtering, and data validation

Benefits

• Full-time health, dental, vision, retirement, disability, and life insurance
• Paid time off, telemedicine, and employee assistance program
• On-the-job training and career advancement opportunities

About the Company

Brightli is a behavioral health organization forming a multi-subsidiary model to share resources and expand access to mental health and addiction care.