Provider Enrollment Specialist, Managed Care, Full-time

The Provider Enrollment Specialist plays a critical role in ensuring that all Brooks Rehabilitation providers—including those within our physician group, home health agency, outpatient rehabilitation clinics, and inpatient rehabilitation facilities—are properly enrolled and credentialed with commercial, government, and third-party payors.

This position supports timely claims processing and reimbursement by maintaining current, accurate provider enrollment records.

The Provider Enrollment Specialist will coordinate with internal departments and external payors to monitor, initiate, and follow through on all credentialing and recredentialing activities.

Responsibilities: 


* Complete initial credentialing and recredentialing applications for providers and facilities across Brooks Rehabilitation service lines.


* Ensure provider records are current and compliant with regulatory and payor-specific requirements.


* Coordinate and communicate with health plans, providers, billing teams, and operations leaders to resolve enrollment delays or discrepancies.


* Track and manage provider onboarding timelines to prevent disruptions to billing and reimbursement.


* Maintain accurate and up-to-date documentation of all enrollment actions in internal systems.


* Serve as a point of contact for payor enrollment questions and issues.


* Collaborate with the Managed Care, Compliance, and Revenue Cycle departments to ensure appropriate provider/payor alignment.


* Identify and escalate enrollment challenges and propose solutions to leadership.


* Monitor expiration dates for licenses, certifications, and payor recredentialing deadlines.


* Assist in the development of process improvements and standard operating procedures related to provider enrollment.

Qualifications: 


* Associate’s degree required; Bachelor’s degree in healthcare administration or related field preferred.


* Minimum of 2-3 years of experience in provider credentialing, enrollment, or related healthcare administrative role.


* Knowledge of provider credentialing standards, CAQH, and payor-specific processes.


* Familiarity with credentialing for physician groups, home health, outpatient, and facility-based services preferred.


* Strong organizational skills and attention to detail.


* Proficiency in Microsoft Excel, Word, and Outlook.


* Strong verbal and written communication skills.


* Ability to work independently and manage multiple priorities in a deadline-driven environment.

Location: 3599 University Blvd South, Jacksonville, FL 32216

Hours: Full-time, on-site, hybrid

Compensation: Experience and education may be considered along with internal equity when job offers are extended.

Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following: 


* Competitive Pay 


* Comprehensive Benefits package 


* Vacation/Paid Time Off


* Re...