NEW JOB OPENING
ENROLLMENT COORDINATOR
IN Cumberland, RI, USA!

Required Education:

• High School Diploma or GED



Preferred Education:

• Bachelor’s degree in Business Administration, Finance, Marketing, or related field



Required Qualifications/Skills/Experience:

• Experience working with Medicare and/or Medicaid enrollment processes (1+ years)

• Experience in a regulatory or compliance-driven environment (1+ years)

• Strong verbal and written communication skills

• Strong organizational and prioritization skills

• Ability to manage multiple tasks within strict timelines

• Ability to work collaboratively in a team environment

• Reliable attendance and accountability in an onsite role



Preferred Qualifications/Skills/Experience:

• Experience with government payer enrollment (Medicare/Medicaid) (1–2+ years)

• Prior insurance or healthcare industry experience

• Experience working with CMS guidelines or Medicare Part D

• Experience in credentialing, billing, or accounts receivable



Enrollment Coordinator Overview:

• The Enrollment Coordinator is responsible for ensuring compliance and accuracy in payer enrollment processes for healthcare providers and clinics

• This role supports both initial enrollment and revalidation activities with government and commercial payers, including Medicare and Medicaid programs

• The position requires strong attention to detail and the ability to manage documentation, compliance requirements, and payer communication effectively

• The coordinator will play a key role in maintaining active participation with payers by ensuring timely and accurate submission of applications, monitoring enrollment status, and resolving issues related to claims and payer systems

• This role involves working closely with internal teams such as billing, credentialing, and operations, as well as external payer organizations, to ensure seamless coordination and adherence to regulatory standards

• Additionally, the position requires handling sensitive documentation, including mail-based workflows, and maintaining up-to-date provider and clinic information in internal systems

• The ideal candidate is highly organized, dependable, and capable of working in a fast-paced, compliance-driven environment while maintaining strong communication and collaboration across teams



Job Duties:

• Submit and manage initial and revalidation enrollment applications for providers and clinics

• Ensure timely and accurate processing of Medicare, Medicaid, and commercial payer enrollments

• Maintain compliance with regulatory and credentialing requirements

• Monitor enrollment status and follow up on pending applications

• Resolve claims issues and coordinate with payers for resolution

• Maintain and update provider information in credentialing and billing systems

• Support workflow improvements and quality control processes

• Communicate with internal teams and external payer organizations

• Handle documentation and mail-based workflows related to enrollment



Specific Details to Call Attention To:

• 100% onsite role (no remote or hybrid option)

• Candidates must be open to temp-to-hire conversion (~6 months)

• Safety-sensitive position (must meet onboarding requirements)

• Schedule: Monday–Friday, 7:30 AM – 4:00 PM

• Strong preference for candidates with Medicare/Medicaid experience

• Candidates must be reliable with consistent attendance

• Pre-screen details required at top of resume (location, Medicare/Medicaid experience, Excel summary)

• Fast interview process (1 round, virtual)

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**