Provider Group Enrollment Specialist

5 days ago

Remote, Oregon, United States Radiology Partners Full time

practice OVERVIEW

Radiology Partners is the largest and fastest growing on-site radiology practice in the US. We are an innovative practice focused on transforming how radiologists provide consistently exceptional services to hospitals, imaging centers, referring physicians and patients. With our state-of-the art clinical technology, specialized expertise, access to capital, and retention of top physician talent, Radiology Partners reliably exceeds the expectations of our clients, patients, and partners. We serve our clients with an operational focus, and, above all, a commitment to quality patient care. Our mission is To Transform Radiology.

POSITION SUMMARY

Radiology Partners is seeking a detail-oriented and organized Provider Group Enrollment Specialist to support the enrollment of radiology group practices and imaging centers in Medicare and Medicaid programs across multiple states. This role is responsible for preparing and submitting provider enrollment applications, ensuring compliance with federal and state regulations, and maintaining accurate group practice data. Working under the direction of the team Lead, the Specialist plays a key role in maintaining the integrity and timeliness of the enrollment lifecycle, including initial enrollments, revalidations, and changes of information. The ideal candidate is familiar with CMS 855 forms, PECOS, and state Medicaid portals and enjoys working in a fast-paced, team-oriented environment.

DUTIES AND RESPONSIBILITIES

  • Prepares, completes, and submits provider enrollment applications for Medicare and state Medicaid programs, including initial enrollments, revalidations, and updates.
  • Assists with gathering and validating required documentation and provider/group information prior to submission.
  • Monitor the status of applications and follow up with payers to resolve delays or issues.
  • Maintains accurate enrollment records, including tracking logs, status reports, and provider files.
  • Processes Changes of Ownership (CHOW) and Changes of Information (COI) according to Medicare and Medicaid requirements.
  • Communicates with internal stakeholders (e.g., credentialing, compliance, revenue cycle) to ensure provider data accuracy and alignment across systems.
  • Ensures compliance with CMS and state-specific requirements and regulatory updates.
  • Responds to enrollment-related inquiries from internal teams or external payers in a timely and professional manner.
  • Supports internal and external audits by providing required documentation and status updates.
  • Performs other duties as assigned.

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