Provider Enrollment Specialist

Job Summary

The Provider Enrollment Specialist is responsible for preparing and submitting enrollment and re-enrollment applications for healthcare providers to Medicare, Medicaid, and commercial insurance plans. This role involves maintaining accurate provider records, tracking application statuses, and collaborating with various teams to ensure timely processing and resolve discrepancies.

Key Responsibilities

• Prepare and submit enrollment and re-enrollment applications for healthcare providers to Medicare, Medicaid, and commercial insurance plans.
• Maintain accurate and up-to-date provider records in internal databases and payer portals.
• Track application statuses and follow up with payers to ensure timely processing.
• Collaborate with providers and credentialing staff teams to gather required documentation and resolve discrepancies.
• Monitor and manage re-credentialing and revalidation timelines to ensure continuous participation.
• Respond to inquiries from providers and internal departments regarding enrollment status and requirements.
• Assist with audits and reporting related to provider enrollment activities.

Top Skills

• CAQH
• Credentialing
• Provider Enrollment

MUST-HAVE Skills & Qualifications

• 2-4 years of recent experience in provider enrollment, specifically enrolling providers into commercial payors.
• High school diploma or equivalent required; an associate or bachelor's degree in healthcare administration or a related field is preferred.
• Strong understanding of Medicare, Medicaid, and commercial insurance enrollment processes.
• Excellent organizational, communication, and problem-solving skills.
• Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
• Experience working with CAQH.

Job Type & Location

• This is a Contract to Hire position.
• Location: Charlotte, NC.
• Workplace Type: Fully remote.

Pay and Benefits

• Pay Range: $23.00 - $23.00/hr.
• Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms.
• Available benefits for this temporary role may include: Medical, dental & vision; Critical Illness, Accident, and Hospital; 401(k) Retirement Plan; Life Insurance; Short and long-term disability; Health Spending Account (HSA); Transportation benefits; Employee Assistance Program; Time Off/Leave (PTO, Vacation or Sick Leave).

Application Deadline

• This position is anticipated to close on May 11, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems Global Services

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.