Provider Enrollment Specialist

1 week ago


Syracuse, New York, United States TAG - The Aspen Group Full time

The Aspen Group (TAG) is a leading retail healthcare business support organization in the U.S., assisting 15,000 healthcare professionals and team members at over 1,000 health and wellness offices across 46 states. They specialize in Dental care, medical aesthetics, and more. Collaborating with independent practice owners and clinicians, the team's mission is to enhance healthcare services for all. ADMI offers centralized business support services for Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, and Chapter Aesthetic Studio, ensuring high-quality consumer healthcare experiences.

Job Summary:

The Provider Enrollment Specialist is a key role in the Payor Strategy Team. Responsibilities include enrolling Aspen providers with dental plans and maintaining their active status under the supervision of the Provider Enrollment Manager.

Essential Responsibilities:


- Process enrollment and re-enrollment applications for assigned plans.


- Proactively manage files to prevent lapses in provider participation.


- Maintain organized documentation and applications.


- Follow up on enrollment information to ensure timely processing.


- Complete enrollment documentation accurately to avoid denials.


- Track applications until enrollment is completed.


- Update provider files with required data.


- Build professional relationships with internal and external contacts.


- Collaborate with teams to ensure accurate reimbursement.


- Provide exceptional customer service to partners and employees.


- Meet enrollment deadlines and communicate risks to leadership.


- Complete other assigned duties.

Requirements/Qualifications:


- High School Diploma or equivalent (College Degree preferred)


- 5 years of dental or insurance plan experience


- Strong communication, time management, and organizational skills


- Detail-oriented with analytical and problem-solving abilities


- Proficient in Microsoft Office especially Excel

Starting pay range: $23-26/hr based on experience



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