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Netsmart logo
Netsmart

A healthcare software company helping you deliver whole-person, value-based care.

Provider Enrollment Specialist

TherapistTherapistFull TimeRemoteMid LevelTeam 1,001-5,000Since 1973H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

56 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Provider Enrollment Specialist

Netsmart

Role Description We are seeking a detail‑oriented Provider Enrollment Specialist to support our Revenue Cycle Management (RCM) operations. This role is responsible for managing the full lifecycle of provider enrollment and re‑enrollment across government and commercial payers. The ideal candidate understands how timely and accurate enrollment directly impacts revenue, provider readiness, and patient access to care. This position works closely with internal billing teams, provider offices, and payer representatives to ensure enrollment requirements are met efficiently and compliantly. Key Responsibilities - Manage the end‑to‑end provider enrollment, re‑credentialing, and revalidation process for Medicare, Medicaid, and commercial payers - Prepare, submit, and track enrollment applications, ensuring accuracy and completeness - Maintain and update provider information within CAQH, PECOS, payer portals, and internal tracking systems - Conduct follow‑ups with payers to resolve enrollment delays, denials, or discrepancies - Partner with billing and operations teams to prevent enrollment‑related claim delays or revenue disruptions - Support new provider onboarding by ensuring enrollment approvals are secured prior to billing - Monitor payer guidelines and enrollment requirements, staying current on regulatory changes - Maintain clear documentation and reporting on enrollment status and timelines - Assist with audits, revalidations, and payer correspondence as needed Qualifications - 1+ years of experience in provider enrollment, credentialing, or revenue cycle management - Working knowledge of Medicare, Medicaid, and commercial payer enrollment processes - Experience using CAQH, PECOS, NPI Registry, and payer portals - Strong attention to detail with the ability to manage multiple enrollments concurrently - Effective written and verbal communication skills - Ability to work independently while collaborating across teams - Proficient in Microsoft Office Platforms (Word, Excel, Outlook, etc.) Preferred Qualifications - Experience supporting multi‑provider or multi‑state healthcare organizations - Familiarity with enrollment tracking systems or RCM platforms - Understanding of downstream billing and claims workflows - Revenue cycle or healthcare certifications (CPC, CPB, or similar) are a plus Benefits - Direct impact on provider readiness and revenue performance - Exposure to multiple payer types and healthcare specialties - Opportunities for growth within enrollment, credentialing, or broader RCM functions - Collaborative team environment focused on process improvement and operational excellence

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United States
$110K - $120K / year
Job Closed
Medtronic logo

Vascular Therapy Development Specialist - Seattle

Medtronic

Medtronic is a global leader in medical technology, dedicated to improving healthcare through innovative therapies and devices. Known for transforming patient care, the company dev

Therapist56 days ago

We anticipate the application window for this opening will close on - 14 Apr 2026 At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You’ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role. The role requires availability to work evenings, weekends, and holidays as determined by local management and domestic travel of more than 70%.Position Description The Therapy Development Specialist (TDS) provides advanced clinical and technical support for new PVH vascular therapies and products across diverse clinical settings. 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Customer Focus and Relationship Management • Build and maintain relationships with clinicians, administrators, and staff. • Drive physician adoption through sustained education and case support. • Gather feedback on new products and communicate insights to leadership. • Ensure compliance with consignment, inventory, and credentialing requirements. After Hours & Travel Requirements • Provide after-hours case support including weeknights and weekends as needed. • Travel within assigned territory ≥70% of the time; overnight travel may be required. Basic Qualifications • High School Diploma with 8+ years relevant experience OR • Associate’s Degree with 6+ years relevant experience OR • Bachelor’s Degree with 4+ years relevant experience. Preferred Qualifications • Clinical Specialist expertise in carotid, embolic, and/or thrombectomy therapies. • Experience supporting new therapy adoption and driving utilization growth. • Strong medical device and vascular knowledge. • Excellent communication, organization, and project management skills. • Proficiency in Microsoft Outlook, Excel, Word, and PowerPoint. For Baccalaureate degrees earned outside of the United States, a degree that satisfies the requirements of 8 C.F.R. § 214.2(h)(4)(iii)(A) is required. 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U.S. Work Authorization & Sponsorship At Medtronic, we are committed to fostering an environment where employees can thrive and make a meaningful impact. In alignment with our enterprise-wide workforce planning approach, U.S. work authorization sponsorship (H-1B, TN, J, etc.) is offered exclusively for Principal-level roles and above, where specialized expertise aligns with long-term business needs. Roles below the Principal level require candidates to possess unrestricted U.S. work authorization at the time of hire and for the duration of employment. Join us in our mission to alleviate pain, restore health, and extend life—where your unique background and perspective are valued. Benefits & Compensation Medtronic offers a competitive Salary and flexible Benefits Package A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage. Salary ranges for U.S (excl. PR) locations (USD):110,000- 120000 In addition to Base Salary, this position is eligible for a Sales Incentive Plan (SIP), which provides the opportunity to earn significant incentive compensation for achieving or exceeding your goals. The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). The following benefits and additional compensation are available to all regular employees: Incentive plans, 401(k) plan plus employer contribution and match, Short-term disability, Paid time off, Paid holidays, Employee Stock Purchase Plan, Employee Assistance Program, Non-qualified Retirement Plan Supplement (subject to IRS earning minimums), and Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums). Regular employees are those who are not temporary, such as interns. Temporary employees are eligible for paid sick time, as required under applicable state law, and the Employee Stock Purchase Plan. Please note some of the above benefits may not apply to workers in Puerto Rico. Further details are available at the link below: Medtronic benefits and compensation plans About Medtronic We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions. Our Mission — to alleviate pain, restore health, and extend life — unites a global team of 95,000+ passionate people. We are engineers at heart— putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary. Learn more about our business, mission, and our commitment to diversity here. It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities. If you are applying to perform work for Medtronic, Inc. (“Medtronic”) in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. Medtronic will consider for employment qualified job applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

United States
$110K - $120K / year
Job Closed