Provider Enrollment Specialist

Posted 13 Days Ago
Be an Early Applicant
Main, PA
70K-75K Annually
Mid level
Healthtech
The Role
The Provider Enrollment Specialist ensures timely and accurate enrollment of healthcare providers across clinical practice entities. They manage document collection, compliance, and payor program management while navigating multistate enrollment requirements, particularly for New York and California. Strong collaboration and communication skills are vital for addressing enrollment issues with provider leadership.
Summary Generated by Built In

Title: Provider Enrollment Specialist 

Location: New York Headquarters – 5 days/week 

Employment Type: Full-Time   

Compensation $70,000 - $75,000 annual salary

Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off, 401k   

About DocGo:  

DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care. 

Position Overview: The Provider Enrollment Specialist plays a critical role in ensuring the timely and accurate enrollment of healthcare providers across various clinical practice entities and payor programs. Reporting directly to the Practice Manager, this role requires a nimble, persistent, and detail-oriented professional who understands the complexities of provider enrollment in a multistate healthcare environment, with a particular focus on New York (NY) and California (CA). 

Key Responsibilities: 

  • Document Collection and Oversight: Ensure the timely collection of provider documents necessary for enrollment. Maintain accurate and organized records of provider documentation. 

  • Compliance and Coordination: Work closely with provider leadership to ensure team members comply with all internal and external requests related to enrollment and credentialing. Stay informed of regulatory requirements and ensure compliance across all states of operation. 

  • Payor Program Management: Generate and report on the status of providers for each payor program. Monitor and track enrollment progress to identify and resolve delays. 

  • Multistate Enrollment Expertise: Navigate the unique requirements of provider enrollment for clinical practice entities in multiple states. Leverage knowledge of NY and CA-specific enrollment processes to ensure smooth operations in these key regions. 

  • Collaboration and Reporting: Collaborate with provider leadership to address and resolve enrollment issues. Create and present regular status updates to stakeholders, highlighting progress, challenges, and solutions. 

Qualifications: 

  • Bachelor’s degree in healthcare administration, business, or a related field preferred. 

  • Minimum of 3 years of experience in provider enrollment or credentialing, with multistate experience strongly preferred. 

  • Strong understanding of provider enrollment processes, including NY and CA-specific requirements. 

  • Excellent organizational and time management skills, with the ability to handle multiple priorities effectively. 

  • Exceptional communication and interpersonal skills to work collaboratively with internal teams and external partners. 

  • Proficiency in using enrollment tracking systems and reporting tools. 

  • Problem-solving skills and persistence in resolving enrollment challenges. 

EEO/AAP Statement:  DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences.  DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position.  As the nature of business demands change so, too, may the essential functions of the position. 

The Company
New York, NY
831 Employees
On-site Workplace
Year Founded: 2016

What We Do

DocGo is transforming healthcare with peerless innovation and on-the-ground care. Our mobile workforce of thousands of full-time traveling clinicians and our proprietary, AI-powered software leverages robust medical record integrations to drastically improve patient outcomes. In our tireless pursuit of high-quality, highly affordable healthcare for all, DocGo makes the impossible possible.

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