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Upstream Rehabilitation logo
Upstream Rehabilitation

We are the largest dedicated outpatient physical therapy provider in the U.S.

Provider Enrollment Specialist

TherapistTherapistFull TimeRemoteSeniorTeam 5,001-10,000H1B No SponsorCompany SiteLinkedIn

Location

Arizona

Posted

85 days ago

Salary

$45K - $50K / year

Seniority

Senior

High SchoolExperience acceptedEnglish

Job Description

Provider Enrollment Specialist

Upstream Rehabilitation

• Manage provider and facility enrollment with health plans and payors, ensuring compliance with contractual, regulatory, and accrediting requirements • Collaborate with credentialing, recruitment, and sales teams to support a consistent and accurate weekly enrollment process • Prepare and submit provider enrollment reports, respond to payer inquiries and validations, and proactively resolve discrepancies • Maintain accurate enrollment records to ensure precise reporting for providers, clients, and credentialed therapists • Review and maintain provider enrollment data and directories, ensuring policies, workflows, and reporting timelines are met • Support resolution of enrollment‑related contract and claims issues with payors and providers • Create clear, engaging training materials and support dissemination of enrollment information as needed • Conduct periodic file reviews to evaluate accuracy, timeliness, and data quality, identifying opportunities to improve performance and efficiency • Identify and recommend process improvements and automation opportunities to increase accuracy and scalability • Adhere to HIPAA guidelines and all applicable privacy and security regulations • Other projects and duties as assigned.

Job Requirements

  • High school diploma or GED.
  • Experience working in provider enrollment or a closely related healthcare operations function.
  • Strong attention to detail with a focus on accuracy and compliance.
  • Excellent customer service, written, verbal, and presentation skills.
  • Highly organized with the ability to manage multiple priorities and deadlines.
  • Comfortable navigating multiple software systems and screens simultaneously.
  • Proficient with virtual collaboration tools such as Microsoft Teams or Zoom.

Benefits

  • 100% employer paid medical health insurance premium option available
  • Dental and Vision insurance
  • 401(k) with company match
  • Generous PTO and paid holidays
  • Supportive team and leadership invested in your success

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