CrawlJobs Logo

Enrollment Specialist

westsidehealth.org Logo

Westside Family Healthcare Inc

Location Icon

Location:
United States , Wilmington

Category Icon

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

15.25 USD / Hour

Job Description:

Westside Family Healthcare is a nonprofit organization that provides high quality primary medical care without regard to ability to pay. The Enrollment Specialists work to remove financial barriers to healthcare by connecting uninsured people, including Westside Family Healthcare (WFH) patients, to programs that make healthcare more affordable. In addition to providing education about affordable health care coverage options through one-on-one interactions and outreach events, Enrollment Specialists provide assistance with the application and enrollment process for State and Federal insurance affordability programs. These programs include Medicaid, CHIP, the Health Insurance Marketplace, Health Care Connection (HCC) and Screening for Life (SFL). Additionally, Enrollment Specialists assist WFH patients with enrollment in our sliding fee scales and external medication assistance programs. Strong organizational skills are required.

Job Responsibility:

  • Provide assistance to WFH patients and consumers who need access to financial support for health care services, including the Health Insurance Marketplace
  • Help individuals understand program eligibility criteria and the application process for various financial assistance programs that help to make health care more affordable
  • Explain other health programs that increase health care access for which the patient or consumer may qualify and connect them with resources for program enrollment
  • Assist with program application completion, identifying and obtaining required documentation and serve as a liaison with the program administrator to complete the enrollment process
  • Successfully complete Certified Application Counselor or Navigator certification during the initial training period and maintain annually thereafter
  • Complete timely, detailed reports for all patient/consumer activities and outreach events
  • Protect patient and consumer information to ensure that confidentiality is maintained in accordance with HIPAA regulations
  • Travel to and participate in statewide outreach events as needed, typically 2-4 times per month
  • Attend all required meetings and trainings
  • Develop extensive knowledge of health care and social service resources available in the community
  • Provide information on the importance of primary and preventive care during one-on-one interactions and at community outreach events throughout the state

Requirements:

  • High school diploma or GED
  • Six months or more of experience using Microsoft Office software suite (Word, Excel, Outlook)
  • Fluency in written and spoken English and Spanish or English and another language spoken by a majority of our patient population
  • Valid driver’s license, reliable transportation and ability to travel independently between work locations, including external outreach events
What we offer:
  • medical insurance (two plans to choose from)
  • dental insurance (through Guardian Dental)
  • vision insurance
  • life insurance paid by Westside with the option to purchase more paid
  • short-term disability paid for by Westside
  • long term disability paid by the employee
  • a 401(k) retirement plan with a match
  • supplemental insurances
  • generous PTO package and flexibility to provide work/life balance

Additional Information:

Job Posted:
January 05, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Enrollment Specialist

Provider Enrollment Specialist II - HP Enrollment Eligibility

Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care cred...
Location
Location
United States , Irving
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma
  • 1-3 years of Payer Enrollment experience
  • Solid knowledge and utilization of PC applications to include WORD, EXCEL, ACCESS
  • Excellent written and verbal communication skills
  • Excellent organization and planning skills with demonstrated teamwork skills
  • Proven ability to interact with all levels of management and other Associates
Job Responsibility
Job Responsibility
  • Collects and maintains data on providers for Medicare and Medicaid enrollment
  • Prepares and submits applications to Medicare and Medicaid for new provider enrollments and existing provider updates
  • follows up by telephone or in writing, with carriers regarding application status
  • Complies with Medicare and Medicaid provider enrollment guidelines
  • Requests NPI numbers for providers and clinics as necessary and maintains NPI files
  • Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals
  • Generates various reports to identify outstanding claims issues with provider numbers and non-payment
  • Communicates information to appropriate personnel
  • Educates staff on corrections, e.g.. front-end entry errors in a positive, constructive manner
  • Collects and reviews managed care contracts for correct billing and payment terms
  • Fulltime
Read More
Arrow Right

Outbound Enrollment Specialist

As an Outbound Enrollment Representative, you will be responsible for making out...
Location
Location
United States
Salary
Salary:
40000.00 - 50000.00 USD / Year
pomelocare.com Logo
Pomelo Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Ability to work Monday-Friday, 8:30am - 5:00pm CT
  • Strong, empathetic communication skills
  • Motivated by goals, metrics, and monthly bonus program
  • Passionate about changing the current landscape of healthcare
  • Strong organizational and time-management skills
  • Ability to work independently and as part of a team
  • Willing to work occasional overtime hours
  • Are internet-connected, able to work remotely
Job Responsibility
Job Responsibility
  • Conduct high volume outbound calls to patients to provide information and education about Pomelo Care services and resources
  • Achieve member enrollment goals as driven by company KPIs
  • Support patients by answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs
  • Document all interactions and maintain timely, accurate records of patient outreach activities
  • Collaborate internally and externally with healthcare providers, community organizations, and other stakeholders to ensure patients receive appropriate care and services
  • Work with families to schedule appointments and follow-up care as needed
  • Participate in training and development opportunities to stay current on healthcare trends and regulations
  • Manage inbound calls from potential patients
What we offer
What we offer
  • Competitive healthcare benefits
  • Generous vacation policy
  • Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)
  • Uncapped performance bonus paid out monthly
  • Fulltime
Read More
Arrow Right

Bilingual Outbound Enrollment Specialist

As an Outbound Enrollment Representative, you will be responsible for making out...
Location
Location
United States
Salary
Salary:
45000.00 - 55000.00 USD / Year
pomelocare.com Logo
Pomelo Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Ability to work Monday-Friday, 8:30am - 5:00pm CT
  • Fluent in Spanish and English
  • Strong, empathetic communication skills
  • Motivated by goals, metrics, and monthly bonus program
  • Passionate about changing the current landscape of healthcare
  • Strong organizational and time-management skills
  • Ability to work independently and as part of a team
  • Willing to work occasional overtime hours
  • Are internet-connected, able to work remotely
Job Responsibility
Job Responsibility
  • Conduct high volume outbound calls to patients to provide information and education about Pomelo Care services and resources
  • Achieve member enrollment goals as driven by company KPIs
  • Support patients by answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs
  • Document all interactions and maintain timely, accurate records of patient outreach activities
  • Collaborate internally and externally with healthcare providers, community organizations, and other stakeholders to ensure patients receive appropriate care and services
  • Work with families to schedule appointments and follow-up care as needed
  • Participate in training and development opportunities to stay current on healthcare trends and regulations
  • Manage inbound calls from potential patients
What we offer
What we offer
  • Competitive healthcare benefits
  • Generous vacation policy
  • Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)
  • Uncapped performance bonus paid out monthly
  • Fulltime
Read More
Arrow Right

Pe specialist

Location
Location
India , Hyderabad
Salary
Salary:
Not provided
https://www.randstad.com Logo
Randstad
Expiration Date
January 17, 2026
Flip Icon
Requirements
Requirements
  • Minimum 2+ years of hands-on experience in Payer Enrollment—Commercial or Medicaid, depending on the requirement
  • Deep understanding of payer portals, CAQH, NPPES, PECOS, Medicaid enrollment processes, and revalidation cycles
  • Proven ability to handle multiple providers and payers simultaneously with high accuracy
  • Strong analytical skills to diagnose enrollment issues and execute root-cause corrections
  • Clear and professional communication skills, both verbal and written
  • Ability to work in a high-volume, deadline-driven operational environment
Job Responsibility
Job Responsibility
  • End-to-End Enrollment Management
  • Manage the full-cycle payer enrollment and revalidation process for healthcare providers (Physicians, NPs, PAs, RNs, CRNAs, etc.)
  • Prepare, review, and submit enrollment applications across Commercial and/or Medicaid payers
  • Track application progress, follow up with payers, and maintain accurate, up-to-date documentation
  • Compliance & Regulatory Adherence
  • Ensure compliance with federal, state, and payer-specific policies and guidelines
  • Stay updated on changes in payer rules, Medicaid regulations, CAQH requirements, and credentialing standards
  • Conduct data quality checks prior to submission to minimize risks of rejections or delays
  • Issue Resolution & Escalations
  • Investigate and resolve complex enrollment issues—rejections, NPI/taxonomy discrepancies, retro-effective enrollment, and portal conflicts
Read More
Arrow Right

Pe - follow up specialist

The primary goal of this position is to manage the complex administrative and co...
Location
Location
India , Hyderabad
Salary
Salary:
Not provided
https://www.randstad.com Logo
Randstad
Expiration Date
January 17, 2026
Flip Icon
Requirements
Requirements
  • Minimum 2+ years of hands-on experience in Payer Enrollment—Commercial or Medicaid, depending on the requirement
Job Responsibility
Job Responsibility
  • End-to-End Enrollment Management
  • Compliance & Regulatory Adherence
  • Issue Resolution & Escalations—Investigate and resolve complex enrollment issues—rejections, NPI/taxonomy discrepancies, retro-effective enrollment, and portal conflicts
  • Serve as a point of escalation for difficult payer inquiries
  • Coordinate with internal Quality, Credentialing, and Provider Data teams to address blockers
  • Process Improvement—Identify inefficiencies in the enrollment workflow and recommend enhancements to reduce turnaround time and improve accuracy
  • Support automation and system-improvement initiatives
  • Contribute to building standardized templates and best practices
  • Mentorship & Team Support—Guide and mentor junior Analysts to improve their technical and process knowledge
  • Provide feedback through reviews, quality checks, and coaching discussions
  • Fulltime
Read More
Arrow Right

Pe - follow up specialist

The primary goal of this position is to manage the complex administrative and co...
Location
Location
India , Hyderabad
Salary
Salary:
Not provided
https://www.randstad.com Logo
Randstad
Expiration Date
January 14, 2026
Flip Icon
Requirements
Requirements
  • 1–3 years in healthcare voice processes (Provider Enrollment preferred, but AR / RCM / Healthcare Voice also acceptable)
Job Responsibility
Job Responsibility
  • Payer Follow-ups & Communication
  • Enrollment Status Management
  • Issue Identification & Resolution
  • Compliance & Documentation
  • Workflow & Productivity Management
  • Fulltime
!
Read More
Arrow Right

Follow-up specialist

Location
Location
India , Hyderabad
Salary
Salary:
Not provided
https://www.randstad.com Logo
Randstad
Expiration Date
January 14, 2026
Flip Icon
Requirements
Requirements
  • Experience using payer portals, CRM tools, or workflow management systems
  • Exposure to provider credentialing or healthcare operations
  • Ability to identify issues and communicate them effectively to senior team members
Job Responsibility
Job Responsibility
  • Payer Follow-ups & Communication
  • Enrollment Status Management
  • Issue Identification & Resolution
  • Compliance & Documentation
  • Workflow & Productivity Management
!
Read More
Arrow Right

Follow Up Specialist

Location
Location
India , Hyderabad
Salary
Salary:
Not provided
https://www.randstad.com Logo
Randstad
Expiration Date
January 13, 2026
Flip Icon
Requirements
Requirements
  • 1-3 years experience in healthcare voice processes
  • Provider Enrollment - Preffered
  • AR Calling - Acceptable
  • RCM Process - Acceptable
  • Healthcare Voice - Acceptable
Job Responsibility
Job Responsibility
  • Payer Follow-Ups and communication
  • Enrollment Status Management
  • Issue Identification and Resolution
!
Read More
Arrow Right