Provider Enrollment Specialist

Posted yesterday

human health projectLos Angeles (CA)

Patient Representatives Voluntary Health Organizations

SENIORITY

Senior

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About the role

Human Health Project (HHP) is a holistic health literacy charity. Our mission is to improve the health of the underserved and vulnerable through holistic information, education and advocacy. Our objective is to empower people to manage their own health with improved outcomes and no medical errors. For more information, please visit our website including viewing our "Shared Patient Information" program page which includes 50 pages of reports on both our Migraine and Lupus and feedback received from people who reviewed the reports in the section, "What Our Members are Saying" - https://tinyurl.com/4c5y3mfa and our "Healthcare Access Program" which includes short video courses in our Learning Academy - https://tinyurl.com/4xwdz5wh, Patient Advocacy Workshops in Los Angeles, - https://tinyurl.com/mryave5x and in Northern Ireland - https://tinyurl.com/nhj6kp7p and our Online Peer to Peer Events - https://tinyurl.com/5ddmxuynFocus: Navigating the administrative applications and portal submissions to get HHP formally recognized by commercial and government health plans. Human Health Project (HHP) is a global health literacy charity dedicated to empowering individuals through peer-led information sharing and health education. As we prepare to launch a critical new service initiative, we are seeking a detail-oriented Volunteer Provider Enrollment Specialist to help us bridge the gap between our services and health insurance payers.

The Role: In this role, you will be the administrative driving force behind getting HHP enrolled with targeted health plans and government payers (including Medi-Cal/Medicare where applicable). This is a crucial function to ensure our programs are recognized within payer networks, allowing us to scale our impact.

Key Responsibilities: Prepare, submit, and track complex enrollment applications for organizational and provider entry into payer networks. Utilize online portals (such as CAQH, PECOS, and state-specific Medicaid/Medi-Cal portals) to maintain accurate organizational profiles. Act as the primary point of contact for insurance payer representatives to resolve application discrepancies or follow-up requests. Maintain meticulous records of submission dates, tracking numbers, and approval timelines.

Qualifications: 1–2+ years of experience in healthcare provider enrollment, medical billing billing infrastructure, or insurance operations. Familiarity with standard payer enrollment portals and state/federal regulatory guidelines. Exceptional organizational skills and a persistent approach to tracking administrative workflows. Commitment of 5–10 hours per week for a minimum of 3 months.

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