Provider Enrollment Specialist

Job Description

Provides ongoing support and coordination as a liaison between the Medical Staff, Medical Directors, and Administration. The position directs the on‑going credentialing/privileging process and other administrative functions for the Medical Staff, Medical Directors, Administration and Allied Health Professionals.

• Participates in enrollment progress update meetings for assigned market and provides status information to stakeholders, keeping detailed notes in the provider enrollment database and distributing information.
• Completes all payer re‑credentialing requests and demographic/roster requests.
• Completes out‑of‑state Medicaid individual and facility enrollments in a timely and accurate manner for assigned states.
• Participates in team work sessions for each market to address Epic hold and denial work queues, communicating issues and trends to leadership.
• Collaborates with AR to identify claim denial trends, and with Coding to identify trend denials related to CPT codes and specific payer types.
• Coordinates all aspects of provider enrollment with commercial and government (Medicare and Medicaid) professional fee payer contracts for an entire market, ensuring enrollment is completed timely and accurately and following up with managed care organizations and government payers.
• Submits provider change and termination requests to all health plans in a timely manner, informing commercial and government payers and internal stakeholders of provider and clinic updates.
• Facilitates completion, set‑up and re‑attestations of CAQH applications.
• Executes large enrollment provider/payer projects and completes provider enrollment for organizational clinic acquisitions.

• Computer literacy
• Microsoft Office
• Communication (oral and written)
• Organizational skills
• Attention to detail
• Accountability and ability to work independently
• Customer service
• Knowledge of medical billing and collections
• Medical terminology

• High school graduate or equivalent
• One (1) year previous work experience in healthcare, preferably in a revenue cycle setting
• Preferred previous work experience with provider enrollment and/or credentialing
• Experience working with government payers and/or commercial payers in a revenue service setting
• Demonstrated knowledge of working medical billing database work queues

• Ongoing need to see and read information, documents, monitors, and equipment
• Frequent verbal and written interactions with providers, colleagues and leadership
• Frequent computer use for typing and accessing information
• Manual dexterity of hands and fingers

Lake Park Building, West Valley City, Utah

40 hours per week

$22.39 – $34.06 per hour, actual rate dependent on experience

We offer a comprehensive benefits package that supports wellness and work‑life balance. For more information, visit our benefits page.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions subject to close without notice.