[Hiring] Provider Enrollment Specialist @St. Luke's Health System

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We are seeking a Provider Enrollment Specialist to join our Provider Enrollment team. As a Provider Enrollment Specialist at St. Luke’s, you’ll be at the forefront of driving safety, quality, and compliance across our clinics, supporting the health system as a whole. You will directly shape how care is delivered — smarter, safer, and more effectively. This is a fully remote position for residents of Idaho, Oregon, Utah, or Arizona - preferred location, Idaho. • Coordinate the provider payer enrollment process to ensure compliance as addressed in payer contracts and other regulatory standards. • Ensure timely enrollment of new providers with 3rd party and government payers; maintain existing active physicians and advanced practice providers. • Validate up-to-date plan enrollment forms, complete applications, submit and follow up until enrollment is complete. • Verify accuracy and coordinate entry of new and revised provider information into the database. • Knowledgeable with Group Entity health plan enrollments, state regulations, and appeal processes. • Prepare/review group applications based on information provided during acquisitions, Tax ID mergers, etc. • Monitor all assigned delegated agreement health plan enrollments reports to ensure enrollments are being processed timely. • Validate status of onboarding providers' enrollments to ensure target start date is met. • Escalate to management when necessary to meet desired target start date. • Work closely with the credentialing team to coordinate enrollment efforts and meet appropriate deadlines. • Maintain existing providers including submission of maintenance forms to update personal and practice demographic data for providers, billing updates, etc. • Accountable for submitting termination requests to all health plans in a timely manner. • Serve as a resource to others in the resolution of complex problems and issues. • Perform other duties and responsibilities as assigned. Qualifications • Associate's Degree • Three (3) years' experience Requirements • Provider Enrollment experience (preferred) • Health Insurance industry experience (preferred) • Revenue Cycle experience (preferred) Benefits • Robust benefits package to support teams both professionally and personally • Competitive salary and retirement plans • On-site massages • On-site counseling via Employee Assistance Program • Access to the Personify Health Wellness tool • Formal training and career development offerings Apply tot his job Apply To this Job