Provider Enrollment Maintenance Coordinator

843707, No, 5770, 2337, 1, 0.0, 0.0, 24-Feb-2026, Provider Enrollment Maintenance Coordinator, Full-Time, Provider Enrollment Maintenance Coordinator, Remote, Knoxville, TN,

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What we Offer:

Career Growth Opportunities

Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment

401K (Discretionary matching funds available)

Generous PTO

8 Paid Holidays

Equipment Provided for Remote Roles

JOB DESCRIPTION OVERVIEW:

The Provider Enrollment Maintenance Coordinator is responsible for proactively completing all provider enrollment maintenance activities. This position is responsible for minimizing any lapses in clinician enrollment and write offs/holds related to maintenance activities. This position is responsible for verifying maintenance requirements, ensuring centralized payer library is current and communicating updates to management and colleagues.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Complete all maintenance activities including research, recording, communication & information sharing, submission, confirmation and follow-up
• Maintenance activities include, but are not limited to:

o Medicare & Medicaid revalidations

o Re-credentialing for all payers

o Creation and maintenance of CAQH practice and clinician profiles

o Submission of clinician updates e.g. licensure and certificates of insurance to payers

o Completion of any/all requests for data validation from payers and internal customers

o Manage roster submission, review and data entry

o Collaborate with colleagues to resolve enrollment related denials associated with maintenance

o Collaborate with analyst and/or HCFS to proactively monitor enrollment status for payers that require claim activity to remain participating

o Partner with Lead to communicate any application, roster or payer required form updates Application Generation software

o Partner with Manager to communicate any payer maintenance activity updates required in the payer library

o Occasional overtime and/or participation on special projects may be required

o Other duties as assigned

QUALIFICATIONS / EXPERIENCE:

• Ability to operate effectively in a fast paced environment
• Demonstrate a systematic approach in carrying out assignments; methodical in planning and performing; effective prioritization required
• Display a high standard of professional conduct to include punctuality, job consciousness and dependability
• Perform with a high degree of accuracy; give meticulous attention to detail
• Work harmoniously and effectively across all levels of the business; cooperate with others for the benefit of the organization
• Communicate clearly, concisely, positively and professionally
• Show genuine interest in continuous development in professional and technical skills
• High school diploma or equivalent; some college preferred
• One year of experience with health care or comparable industry