Provider Enrollment Specialist
Sigma, Irving, TX, United States
Job Title:
Provider Enrollment Specialist
Job ID:
9061802 Location:
Irving, TX (Onsite) Duration:
3-Month Contract Schedule:
Monday - Friday, 8:00 AM - 5:00 PM (40 hours/week)
Company Overview
Sigma Inc.
is currently seeking a detail-oriented and experienced
Provider Enrollment Specialist
to join our onsite team in Irving, TX. This role is responsible for coordinating provider enrollment, credentialing, and billing system support while ensuring compliance with regulatory standards.
Job Summary
The
Provider Enrollment Specialist
coordinates Medicare and Medicaid enrollment and re-enrollment, manages provider credentialing and contracting, and supports billing system administration. This role also serves as a liaison between providers, insurance carriers, patients, and internal teams to ensure accurate billing, reimbursement, and compliance.
Key Responsibilities Manage
Medicare and Medicaid provider enrollment and re-enrollment processes Prepare, submit, and track provider enrollment applications and updates Follow up with insurance carriers regarding application status via phone or written communication Maintain and update
NPI (National Provider Identifier) files and provider records Ensure compliance with
Medicare and Medicaid enrollment guidelines Monitor and follow up on
outstanding claims, appeals, and accounts receivable Analyze reports to identify
billing issues, non-payment trends, and claim discrepancies Serve as a
customer service liaison
between patients, insurance carriers, billing vendors, and clinic staff Review payments and contracts to ensure
accurate reimbursement and billing terms Assist with
billing system administration , troubleshooting, and training Act as a
Superuser
for billing systems (e.g., Athena) to support clinic staff Review correspondence, unpostables, and resolve problem accounts Educate staff on billing corrections and front-end data entry improvements Participate in
credentialing meetings, training sessions, and system updates Maintain strict compliance with
HIPAA regulations and confidentiality standards Support organizational policies, quality assurance, and safety standards Perform additional duties as assigned Required Qualifications
High School Diploma or equivalent 1-3 years of
payer enrollment or provider enrollment experience Knowledge of
Medicare, Medicaid, and managed care enrollment processes Proficiency in
Microsoft Office (Word, Excel, Access) Strong understanding of
billing systems and claims processing Excellent
written and verbal communication skills Strong
organizational, analytical, and problem-solving abilities Ability to work collaboratively and interact with all levels of staff and management Preferred Qualifications
Experience with
Athena or similar billing systems Familiarity with
credentialing and managed care contracts Prior experience in
healthcare administration or provider services
Provider Enrollment Specialist
Job ID:
9061802 Location:
Irving, TX (Onsite) Duration:
3-Month Contract Schedule:
Monday - Friday, 8:00 AM - 5:00 PM (40 hours/week)
Company Overview
Sigma Inc.
is currently seeking a detail-oriented and experienced
Provider Enrollment Specialist
to join our onsite team in Irving, TX. This role is responsible for coordinating provider enrollment, credentialing, and billing system support while ensuring compliance with regulatory standards.
Job Summary
The
Provider Enrollment Specialist
coordinates Medicare and Medicaid enrollment and re-enrollment, manages provider credentialing and contracting, and supports billing system administration. This role also serves as a liaison between providers, insurance carriers, patients, and internal teams to ensure accurate billing, reimbursement, and compliance.
Key Responsibilities Manage
Medicare and Medicaid provider enrollment and re-enrollment processes Prepare, submit, and track provider enrollment applications and updates Follow up with insurance carriers regarding application status via phone or written communication Maintain and update
NPI (National Provider Identifier) files and provider records Ensure compliance with
Medicare and Medicaid enrollment guidelines Monitor and follow up on
outstanding claims, appeals, and accounts receivable Analyze reports to identify
billing issues, non-payment trends, and claim discrepancies Serve as a
customer service liaison
between patients, insurance carriers, billing vendors, and clinic staff Review payments and contracts to ensure
accurate reimbursement and billing terms Assist with
billing system administration , troubleshooting, and training Act as a
Superuser
for billing systems (e.g., Athena) to support clinic staff Review correspondence, unpostables, and resolve problem accounts Educate staff on billing corrections and front-end data entry improvements Participate in
credentialing meetings, training sessions, and system updates Maintain strict compliance with
HIPAA regulations and confidentiality standards Support organizational policies, quality assurance, and safety standards Perform additional duties as assigned Required Qualifications
High School Diploma or equivalent 1-3 years of
payer enrollment or provider enrollment experience Knowledge of
Medicare, Medicaid, and managed care enrollment processes Proficiency in
Microsoft Office (Word, Excel, Access) Strong understanding of
billing systems and claims processing Excellent
written and verbal communication skills Strong
organizational, analytical, and problem-solving abilities Ability to work collaboratively and interact with all levels of staff and management Preferred Qualifications
Experience with
Athena or similar billing systems Familiarity with
credentialing and managed care contracts Prior experience in
healthcare administration or provider services