Provider Enrollment Specialist II Remote

Experity is a mission‑driven team transforming on‑demand healthcare across the U.S., empowering urgent care clinics with industry‑leading software that makes care faster, easier, and more patient‑focused. Joining us means doing meaningful work that directly improves the healthcare experience for millions.

• Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.
• Ownership:
  All Team Members are eligible for synthetic ownership after one year of employment, with real financial rewards when the company is successful.
• Employee Assistance Program: counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and more.
• Flexibility: flexible work scheduling to support work‑life balance.
• Paid Time Off (PTO): generous plan that increases with milestones.
• Career Development: learning program foundation to explore potential and achieve career goals.
• Team Building: company picnic, holiday party, and other team‑building activities.
• Total Compensation: competitive pay, quarterly bonuses, and a 401(k) retirement plan with employer match.

Budgeted between $19.10 and $22.50 per hour, dependent upon applicable experience.

Opportunity to work remotely or in an office.

• Independently research and interpret complex payer enrollment requirements, including state‑specific and specialty requirements.
• Complete and manage high‑volume and escalated enrollment applications, ensuring timely and accurate submission through completion.
• Lead the review, research, and resolution of escalated emails, tickets, and payer inquiries, serving as a subject‑matter resource.
• Oversee revalidation/recredentialing processes for complex provider groups or multistate enrollments.
• Manage and submit updates to remittance and practice addresses, including payer‑specific forms and compliance requirements.
• Support payer conversion and process improvement initiatives, providing recommendations based on enrollment trends.
• Communicate proactively with key stakeholders, leadership, and clients regarding risks, delays, or compliance concerns in assigned work.
• Build and foster strong, collaborative relationships with payer representatives, providers, and internal teams to support successful enrollment cycles.
• Provide guidance, support, or mentoring to Provider Enrollment Specialist team members as needed.
• Contribute to workflow optimization and best practice development within the enrollment team.
• Other duties as assigned.

• Associate's degree or equivalent combination of education and experience.
• Three years of progressive experience in provider enrollment, credentialing, or healthcare payer relations.
• Demonstrated expertise in Medicare, Medicaid, and commercial payer enrollment processes, including initial applications, revalidations, and ongoing maintenance.
• Hands‑on experience using provider data systems such as CAQH Pro View, PECOS, NPPES, Availity, and payer‑specific portals.
• Proven track record of independently managing high‑volume, complex enrollment cases with accuracy and timeliness.
• Experience researching and resolving escalated enrollment issues, discrepancies, or payer denials.
• Ability to interpret and apply CMS and state‑specific regulations as they relate to provider enrollment and compliance.
• Proficiency with Microsoft Office Suite and credentialing/enrollment databases.
• Strong written and verbal communication skills with experience interacting directly with providers, payer representatives, and internal leadership.
• Demonstrated ability to maintain compliance with HIPAA and other regulatory requirements.
• Experience training, mentoring, or supporting junior staff is a plus.

• Team First
• Lift Others Up
• Share Openly
• Set and Crush Goals
• Delight the Client

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.