Provider Enrollment Specialist (Revenue Cycle Focus)

Location: Oak Brook, IL
Work Arrangement: Hybrid
Compensation: $28.00 – $32.00 per Hour
Employment Type: Temp-to-Hire

Work Arrangement

This is a hybrid position based in Oak Brook, Illinois. Candidates should be comfortable working onsite as required while also supporting responsibilities remotely in accordance with the department’s schedule and business needs.

About the Opportunity

Our client is one of the nation's largest physician specialty practice organizations, delivering high-quality patient care across multiple states. As the organization continues to grow, they are seeking an experienced Provider Enrollment Specialist with a strong understanding of Revenue Cycle Management (RCM) to support provider enrollment, credentialing, contracting, and payer operations.

This role is ideal for someone who understands how provider enrollment directly impacts reimbursement and enjoys collaborating across Credentialing, Contracting, Billing, and Revenue Cycle teams to improve financial performance and minimize claim denials.

Position Summary

The Provider Enrollment Specialist will serve as the operational link between Credentialing, Contracting, and Revenue Cycle Management. This individual will be responsible for provider and facility payer enrollment while proactively identifying and resolving enrollment-related reimbursement issues.

The ideal candidate has experience investigating enrollment and credentialing denials, understands payer requirements, and can independently resolve issues that impact reimbursement while improving internal processes.

Key Responsibilities

• Manage provider and facility enrollments with Medicare, Medicaid, and commercial insurance carriers.
• Investigate and resolve enrollment, credentialing, and contracting-related claim denials.
• Partner with Billing, Coding, Patient Accounts, Credentialing, and Revenue Cycle teams to minimize reimbursement delays.
• Coordinate claim corrections and resubmissions following enrollment issue resolution.
• Maintain provider enrollment records and ensure payer information remains accurate and current.
• Utilize CAQH, PECOS, NPPES, and payer portals to maintain provider enrollment information.
• Support provider contracting initiatives and ensure enrollments align with executed payer agreements.
• Monitor enrollment timelines and proactively identify potential reimbursement risks.
• Analyze recurring denial trends and recommend process improvements.
• Maintain compliance with payer enrollment requirements and regulatory standards.
• Participate in special projects and additional revenue cycle initiatives as assigned.

Qualifications

Required

• Associate's or Bachelor's Degree in Healthcare Administration, Business Administration, or a related field.
• 3–5 years of provider enrollment experience.
• Minimum 2 years of Revenue Cycle, Medical Billing, Accounts Receivable, or Denials experience.
• Strong knowledge of Medicare, Medicaid, and commercial payer enrollment requirements.
• Experience with:
  • CAQH ProView
  • PECOS
  • NPPES
  • Payer enrollment portals
• Experience researching and resolving enrollment, credentialing, and contracting-related denials.
• Excellent analytical, organizational, and communication skills.
• Ability to manage multiple priorities in a fast-paced healthcare environment.

Preferred

• Experience supporting physician practices or multi-specialty medical groups.
• Experience with payer contracting or provider network management.
• Knowledge of healthcare reimbursement methodologies and claim adjudication.
• NAMSS certification (CPCS or CPMSM) is a plus.
• Experience with delegated credentialing and payer roster management.

Why Work with Connect Search?

As a consultant with Connect Search, you'll receive:

• Competitive weekly pay with direct deposit
• Medical, dental, and vision insurance options
• 401(k) retirement plan eligibility
• Dedicated recruiter support throughout your assignment
• Access to exclusive opportunities with leading healthcare organizations
• Ongoing career coaching and future placement opportunities
• Opportunity for permanent employment based on performance and business needs

Why This Opportunity?

• Join a rapidly growing healthcare organization with an established reputation for clinical excellence.
• Work alongside experienced Revenue Cycle, Credentialing, and Contracting professionals.
• Gain exposure to enterprise-wide provider enrollment and reimbursement operations.
• Excellent opportunity to grow your career in Revenue Cycle Management and Provider Operations.
• Temp-to-hire opportunity with long-term career potential.

Compensation

$28.00 – $32.00 per hour, based on experience and qualifications.

Connect Search is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, veteran status, or any other protected classification.