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Salary and Benefits

Provider Enrollment Specialist
$37K-$45K / yr. (est.)
$37K
$41,272 / year
$45K
Average base salary
The salary information provided is based on data collected from various reliable sources and may vary depending on individual qualifications and other factors.

About Provider Enrollment Specialist

What does a Provider Enrollment Specialist do?

As Provider Enrollment Specialists, we are responsible for facilitating the application from a new provider through all stages to enroll the provider with commercial and government payers and facilities. We determine the type of care for which the patient in a clinic is eligible. Verifying patients’ eligibility with their insurance carrier and collecting health records and forms is one of our main responsibilities. We update practitioner information in internal software and external payers. Working as Provider Enrollment Specialists, we maintain copies of licensure and documents necessary for the enrollment process. We handle applications, collect information, and determine candidate’s eligibility for programs.

Core tasks:

  • guide candidates in the enrollment process
  • enter data in software and provide customer care
  • process enrollments and dis-enrollments

Insights

How Many Years of Experience Do Professionals Need Before Becoming Provider Enrollment Specialist?
On average, people work 5-7 years in other positions prior to becoming a Provider Enrollment Specialist.
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Provider Enrollment SpecialistPhiladelphia, PA - 10 months ago
seriously? long-term commitment to a position shows loyalty and expertise, not inconsistency! 🤔
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Provider Enrollment SpecialistPhoenix, AZ - 10 months ago
y'all just ain't got the patience and work ethic to stick with something for the long haul 🙄
How Long Do Provider Enrollment Specialist Employees Typically Stay in Their Roles?
On average, Provider Enrollment Specialists works in this position for 3-5 years across multiple employers.
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Medical CoderHouston, TX - 10 months ago
I've personally worked with Provider Enrollment Specialists, and their tendency to job-hop can be disruptive to our operations. Consistency and loyalty should not be overlooked!
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Medical Office AssistantDallas, TX - 10 months ago
It's concerning that the average tenure for Provider Enrollment Specialists is only 3-5 years. As an industry professional, I value long-term commitment and reliability. 🤔
What Is the Job Hopper Score for Provider Enrollment Specialist Employees?
Moderate job changes in Provider Enrollment Specialist, showing some career movement without excessive turnover.
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Software EngineerSan Francisco, CA - 10 months ago
🙄 Why would anyone want to leave the lucrative field of Provider Enrollment Specialist? This infographic seems off.
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Retail Sales AssociateHouston, TX - 10 months ago
omg why can't my job be more like Provider Enrollment Specialist? I'm so over this retail life!

Career path

Path to job

How long does a Provider Enrollment Specialist work in this position across multiple employers?
37 %
Customer Service Representative
Avg. length of tenure:3 years
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22 %
Administrative Assistant
Avg. length of tenure:3 years
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Discover a Provider Enrollment Specialist's areas of knowledge sorted by their majors.
Explore the list of higher education institutions that a Provider Enrollment Specialist typically studied at.
Florida State University
University of Louisville

Path after job

A Provider Enrollment Specialist typically moves on to these titles.
29 %
Customer Service Representative
Avg. length of tenure:2 years
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20 %
Credentialing Specialist
Avg. length of tenure:3 years
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Community

Demographics

What Is the Age and Gender Ratio of Provider Enrollment Specialist Employees?
Gender ratio in Provider Enrollment Specialist position: 0.347623089983022 Male and 0.652376910016978 Female. Age ratio in Provider Enrollment Specialist position: 16-20: 11%, 21-30: 62%, 31-40: 17%, 41-50: 7%, 51-60: 3%, 60+: 0%. Provider Enrollment Specialist position is predominantly female (65.2%) with the largest age group being 21-30 years old, followed by 31-40 years old.
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Provider Enrollment SpecialistMiami, FL - 10 months ago
Are there any benefits to having more femaales in the Provider Enrollment Specialist role? 🤷
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Provider Enrollment SpecialistSeattle, WA - 10 months ago
It's great to see that there's a diverse age range within the provider enrollment specialist field. Experience and fresh perspectives will benefit the industry! 👍

Workplaces

Who Are the Top Employers for Provider Enrollment Specialist?
Top employers of Provider Enrollment Specialist position: Anthem, Humana, Molina Healthcare. People who work in Provider Enrollment Specialist position most typically go on to work for the Anthem.
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Provider Enrollment SpecialistSan Francisco, CA - 10 months ago
Humana is a joke! Molina Healthcare has the most challenging and fulfilling work in this field.
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Provider Enrollment SpecialistAtlanta, GA - 10 months ago
I've worked for Molina Healthcare and Humana, and neither can compare to the professional development opportunities offered by Anthem.
Anthem
Humana
Molina Healthcare
What Industries Does Provider Enrollment Specialist Typically Have Experience In?
Industry Background: The most typical industries of Provider Enrollment Specialist: Finance & Insurance, Health Care, Education, Information Technology, Administrative & Support. Provider Enrollment Specialist employees most likely come from a Finance & Insurance industry background.
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Provider Enrollment SpecialistNew York City, NY - 10 months ago
Are you kidding me? Provider Enrollment Specialists are the unsung heroes of the healthcare industry! They work tirelessly to ensure that healthcare providers are accurately enrolled. 🏥
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Provider Enrollment SpecialistPhiladelphia, PA - 10 months ago
I'm sorry, but being a Provider Enrollment Specialist sounds incredibly dry and mundane. All that paperwork and administrative tasks must be mind-numbing. 😴

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Discussion about Provider Enrollment Specialist

Want to know more about Provider Enrollment Specialist position?
Share your thoughts and ideas about Provider Enrollment Specialist position with others in our community.
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How is the gender diversity among people working as a Provider Enrollment Specialist?
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Sophie Hayes3 years ago
Women are more common working as a Provider Enrollment Specialist.
How old are people who work as a Provider Enrollment Specialist?
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Benjamin Gardner3 years ago
The typical age is 28.
How many years of experience do you usually have as a Provider Enrollment Specialist?
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Benjamin Gardner3 years ago
6 years of experience is needed on average for a Provider Enrollment Specialist.
Which industries have a lot of people working in Provider Enrollment Specialist roles?
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Sophie Hayes3 years ago
Finance & Insurance is typical for a Provider Enrollment Specialist to work in.
What kind of degree is needed to work as a Provider Enrollment Specialist?
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Benjamin Gardner3 years ago
No higher education could not hurt if you want to be a Provider Enrollment Specialist
Where are you working as a Provider Enrollment Specialist?
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Benjamin Gardner3 years ago
Most people work for Anthem, Humana, Molina Healthcare, TeamHealth and UnitedHealth Group
How many years do people spend as a Provider Enrollment Specialist in their career path?
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Liam Brown3 years ago
4 years is the typical lifespan for a Provider Enrollment Specialist.
Is it frequent for people to switch companies and still work as a Provider Enrollment Specialist?
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Benjamin Gardner3 years ago
A typical Provider Enrollment Specialist might work for one or two companies.
What do people usually work as before switching to Provider Enrollment Specialist?
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Isabella Holmes3 years ago
A Provider Enrollment Specialist probably worked as Customer Service Representative, Administrative Assistant or Credentialing Specialist before
What typical professions people working as a Provider Enrollment Specialist switch to?
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Benjamin Gardner3 years ago
Customer Service Representative, Credentialing Specialist or Credentialing Coordinator are good next steps for a Provider Enrollment Specialist
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