What are the responsibilities and job description for the Enrollment Specialist position at Alpine Solutions Group?
Position: Data Provider Enrollment Specialist
Location: Tempe, AZ
Schedule:
• Onsite Monday-Friday
• Flexible start time between 6:00am-8:00am
• 40-hour work week
About the Role
We are seeking a Data Provider Enrollment Specialist to support provider enrollment and credentialing activities across government and commercial payers. This position plays a critical role in ensuring providers are enrolled accurately and timely so claims can be processed and reimbursed without delays. The ideal candidate will have strong knowledge of provider enrollment processes, payer regulations, healthcare reimbursement, and clearinghouse operations.
Responsibilities
• Manage provider enrollment and revalidation processes with Medicare, Medicaid, and commercial payers
• Prepare, review, and submit provider enrollment applications and supporting documentation
• Coordinate EDI, EFT, and ERA enrollments with payers and clearinghouses
• Monitor enrollment statuses and proactively follow up with payer representatives to resolve delays or issues
• Identify and resolve enrollment-related rejections, including NPI and provider data discrepancies
• Maintain provider records, licenses, certifications, and enrollment documentation
• Utilize payer portals, clearinghouse systems, and internal databases to track enrollment activity
• Partner with billing, finance, compliance, and operations teams to support reimbursement processes
• Conduct audits and maintain compliance with HIPAA and regulatory requirements
• Stay current on payer policies, enrollment requirements, and regulatory changes
Requirements
• 2 years of provider enrollment or credentialing experience within healthcare
• Strong understanding of Medicare, Medicaid, and commercial payer enrollment processes
• Knowledge of provider enrollment documentation and application requirements
• Experience working with clearinghouse systems and resolving enrollment issues
• Familiarity with NPI numbers and provider data maintenance
• Understanding of healthcare reimbursement processes and payer regulations
• Knowledge of HIPAA, ACA, X12, ANSI, 837/835 reimbursement standards, and 270/271 claims standards
• Experience supporting EDI, EFT, and ERA enrollment activities
• Strong attention to detail, organization, and communication skills
Preferred Qualifications
• Bachelor's degree, ideally in a healthcare-related field
• Experience with Waystar or other healthcare clearinghouse platforms
• Experience with Zoll or Tritech software
• Prior experience supporting multi-state provider enrollment operations