Job Title

Provider Enrollment & Payer Follow-Up Specialist (Remote) (Permanent Work-From-Home | EST Shift)About the RoleWe are seeking a highly experiencedProvider Enrollment & Payer Follow-Up Specialistwho specializes inpost-submission follow-ups with payersto ensure timely processing, approval, and activation of provider enrollment and credentialing applications. This role is ideal for professionals with deep knowledge ofpayer follow-up workflows, escalation paths, and state-specific processing requirementsacross Medicare, Medicaid, Medicaid MCOs, and commercial payers. The specialist will work closely with our credentialing team to track application status, resolve deficiencies, and drive applications to completion.Key Responsibilities Performsystematic follow-ups with payers(phone, email, and portals) on submitted enrollment, credentialing, and recredentialing applications. Track application status and identify delays, missing items, or payer-specific issues. Communicate directly with payer representatives to obtain updates, reference numbers, and estimated turnaround times. Escalate stalled or denied applications using payer escalation channels. Ensure timely resolution ofdeficiencies, development letters, and rework requests . Maintain accurate tracking logs and status reports for all active applications. Coordinate closely with the credentialing team to obtain and submit additional documentation when required. Update and maintain provider data in CAQH, PECOS, Availity, Navinet, NPPES, and other payer portals. Verify provider participation status and effective dates once approvals are issued. Support follow-ups for individual, group, and facility enrollments across multiple states. Required Experience & Skills Minimum3+ years of hands-on experiencein provider enrollment, credentialing, and payer follow-ups. Strong working knowledge ofpayer processing workflowsfor: Medicare State Medicaid programs Medicaid Managed Care Organizations (MCOs) Commercial payers Proven experience handling payer calls and emails independently. Excellent understanding of enrollment lifecycle from submission to activation. Highly organized, detail-oriented, and deadline-driven. Strong verbal and written communication skills. Mandatory Work-From-Home Requirements Dedicated laptop/PC:Intel i5 or higher, 8GB RAM , Windows 10/11 (licensed & activated) MS Office 2013+ (working copy) Quiet, distraction-free home office Minimum50 Mbps high-speed internet(fiber or cable) At least1 year of prior WFH experienceduring EST hours Work Schedule:9:00 AM – 6:00 PM EST | Monday–Friday Compensation Monthly Salary(based on experience)