This role owns the payer enrollment process for independent providers, with a heavy emphasis on Medicaid and Medicare enrollment plus ongoing follow-up until providers are fully in-network (PAR). You’ll be the main point of contact for enrollment work, tracking milestones in CredentialStream, verifying provider data, and staying on payers until approvals hit.
About Privia Health
Privia Health is a technology-driven physician enablement company that partners with medical groups, health plans, and health systems to improve practice operations, patient experience, and outcomes across in-person and virtual care.
Schedule
Full time
Remote (USA)
Remote internet requirement: minimum 5 Mbps download and 3 Mbps upload
What You’ll Do
- Enroll new Privia providers with commercial health plans for the market
- Enroll providers with Medicaid and Medicare
- Enter key enrollment milestones in CredentialStream (add to roster, submitted, mailed, effective dates)
- Review provider record accuracy (taxonomy, specialty, etc.) before submitting applications
- Follow up with health plans 30 days after submission, then every two weeks until provider is PAR
- Escalate known issues to your manager when needed
- Collaborate with credentialing to stay aligned on new provider onboarding
- Attend RCM and payer calls and other internal stakeholder meetings as needed
- Handle other related duties as assigned
What You Need
- 2+ years payer enrollment experience (required)
- Experience working in payer portals (required)
- Medicare/Medicaid payer experience (required)
- Maryland Medicaid experience (preferred)
- RCM enrollment claim resolution experience (preferred)
- Verity CredentialStream (or similar credentialing software) experience (preferred)
- Strong problem solving, analysis, and resolution skills
- Ability to work independently and manage multiple priorities/projects
- Must comply with HIPAA
Benefits
- Medical, dental, vision, life, and pet insurance
- 401(k)
- Paid time off
- Wellness programs
- Work-from-home expense reimbursement eligibility (per policy)
Pay
Base salary range: $50,000–$55,000
Bonus: eligible for an annual bonus targeted at 10%
Final base pay depends on experience, education, and location
Quick backbone note: this is not “light admin.” It’s payer chasing, data accuracy, and follow-through until PAR. If you don’t like living in portals, tracking dates, and pushing payers every two weeks, it’ll feel like quicksand. If you do, it’s a clean, stable lane.
Happy Hunting,
~Two Chicks…