Provider Enrollment Specialist II

About the role

Experity is building technology that helps urgent care organizations deliver faster, simpler, and more patient-centered care across the United States. This role is part of a mission-focused team supporting healthcare operations behind the scenes so clinics can run efficiently and patients can access care more easily. It is a chance to contribute to work that has a direct effect on healthcare delivery while collaborating with a team that values innovation and service.

Compensation and work arrangement

The budgeted pay range for this position is $19.10 to $22.50 per hour, depending on relevant experience. The company offers the option to work remotely or from an office.

What you will do

• Research and apply complex enrollment rules for payers, including requirements that vary by state and specialty.
• Handle a large volume of provider enrollment submissions from start to finish, including escalated cases, with accuracy and timeliness.
• Review and resolve advanced email, ticket, and payer-related issues while serving as a knowledgeable resource for the team.
• Manage revalidation and recredentialing work for multi-state providers and more complex provider groups.
• Submit and maintain updates for remittance and practice addresses, following payer-specific documentation and compliance rules.
• Assist with payer transition efforts and process improvement work by sharing observations from enrollment patterns and trends.
• Keep stakeholders, leaders, and clients informed about risks, delays, and compliance concerns tied to assigned cases.
• Develop productive working relationships with payer contacts, providers, and internal teams to support smooth enrollment outcomes.
• Offer guidance, support, or mentorship to other Provider Enrollment Specialist team members when needed.
• Help improve team workflows and contribute to stronger enrollment best practices.
• Take on additional responsibilities as needed.

What we are looking for

• An associate degree, or an equivalent mix of education and practical experience.
• At least three years of progressive experience in provider enrollment, credentialing, or healthcare payer relations.
• Strong knowledge of Medicare, Medicaid, and commercial payer enrollment, including new applications, revalidation, and ongoing maintenance.
• Practical experience with provider systems and portals such as CAQH ProView, PECOS, NPPES, Availity, and payer-specific platforms.
• Ability to independently manage complex, high-volume enrollment work while maintaining quality and speed.
• Experience identifying, investigating, and resolving enrollment problems, mismatches, and payer denials.
• Ability to interpret CMS guidance and state-level regulations related to provider enrollment and compliance.
• Proficiency with Microsoft Office and credentialing or enrollment databases.
• Strong written and verbal communication skills for interacting with providers, payer representatives, and internal leaders.
• Comfort working in a HIPAA-compliant environment and following regulatory requirements.
• Experience guiding, training, or supporting junior staff is beneficial.

Benefits and perks

• Medical, dental/orthodontia, and vision coverage starting on the first day of employment.
• Synthetic ownership eligibility after one year of employment, with the potential for financial reward as the company performs well.
• Employee assistance support that includes counseling, legal help, financial education, pet adoption assistance, and identity theft or fraud resolution services.
• Flexible scheduling to better balance work, family, and personal responsibilities.
• Generous paid time off that increases with milestones.
• Learning and career development opportunities to support professional growth.
• Team-building activities, including a family picnic and holiday party.
• Competitive compensation, quarterly bonuses, and a 401(k) retirement plan with employer match.

Additional information

Experity emphasizes teamwork, openness, goal achievement, helping others succeed, and client satisfaction as core values. The company also states that it is an equal opportunity employer and provides applicants with notice of their rights under federal employment laws.