Provider Enrollment Specialist

Provider Enrollment Specialist
Irving, TX (Onsite)
3-Month Contract | Monday-Friday | 8:00 AM - 5:00 PM

Sigma Systems is seeking a Provider Enrollment Specialist to support a leading healthcare organization in Irving, TX. This role is responsible for coordinating provider enrollment, credentialing support, payer relations, and reimbursement activities to ensure healthcare providers are properly enrolled and credentialed with Medicare, Medicaid, and commercial insurance carriers.

This is an excellent opportunity for healthcare administration professionals with experience in provider enrollment, credentialing, medical billing, revenue cycle operations, or payer relations.

What You'll Do

• Coordinate Medicare and Medicaid provider enrollment and re-enrollment activities.
• Prepare, submit, and track enrollment applications for new providers and provider updates.
• Maintain provider records, enrollment files, and National Provider Identifier (NPI) information.
• Follow up with government and commercial insurance carriers regarding application status and approvals.
• Assist with managed care credentialing and contracting processes.
• Review payer contracts to ensure accurate billing and reimbursement terms.
• Monitor outstanding claims and identify enrollment-related payment issues.
• Research and resolve provider number, payer enrollment, and reimbursement concerns.
• Generate reports and analyze enrollment and payment trends.
• Serve as a liaison between providers, clinics, insurance carriers, billing vendors, and internal stakeholders.
• Support billing system administration and assist users with system-related questions.
• Educate clinic staff on enrollment requirements, documentation, and billing corrections.
• Ensure compliance with HIPAA regulations and organizational confidentiality standards.

Qualifications

• High School Diploma or equivalent required.
• 1-3 years of provider enrollment, payer enrollment, credentialing, medical billing, healthcare administration, or revenue cycle experience.
• Knowledge of Medicare, Medicaid, and commercial insurance enrollment processes.
• Strong understanding of provider data management and credentialing documentation.
• Excellent organizational skills and attention to detail.
• Strong written and verbal communication skills.
• Ability to manage multiple priorities and deadlines in a fast-paced healthcare environment.
• Proven ability to work effectively with providers, management, insurance carriers, and clinic staff.

Technical Skills

• Proficiency with Microsoft Word, Excel, and Access.
• Experience with healthcare billing systems, practice management systems, or provider enrollment platforms preferred.
• Familiarity with Athena or similar healthcare software is a plus.

Ideal Backgrounds

We encourage candidates with experience in any of the following areas to apply:

• Provider Enrollment
• Medical Credentialing
• Revenue Cycle Management
• Medical Billing
• Healthcare Administration
• Payer Relations
• Insurance Verification
• Practice Management Support

Why Apply?

• Opportunity to work with a respected healthcare organization.
• Gain valuable experience in provider enrollment and healthcare operations.
• Exposure to credentialing, payer contracting, and revenue cycle functions.
• Collaborative and professional healthcare environment.

Location: Irving, TX (Onsite)
Schedule: Monday-Friday, 8:00 AM - 5:00 PM
Duration: 3-Month Contract