About the role

Provider Enrollment Specialist at Ventra Health is responsible for identifying, researching, and resolving payer enrollment issues for physicians and practices. The role works closely with the Provider Enrollment Manager and client teams to manage CMS Medicare, State Medicaid, and third‑party payer applications, ensuring accurate provider numbers and enrollment status. Key tasks include tracking revalidation dates, maintaining enrollment documentation, and coordinating with Centers for Medicare & Medicaid Services (CMS) via phone, email, or website. The specialist must possess strong knowledge of CMS, State Medicaid, and payer requirements, including DEA numbers, CVs, and regulatory forms. Excellent communication, analytical, and organizational skills are essential, as is the ability to work independently and maintain confidentiality of protected health information. The position is full‑time, onsite in Perungudi, Chennai, India, and offers a performance‑based incentive plan under Ventra’s Rewards & Recognition program.

What you’ll do

Perform follow‑up with market locations to research and resolve payer enrollment issues.
Perform follow‑up with CMS and other payers via phone, email, or website to resolve enrollment issues.
Manage completion and submission of CMS Medicare, State Medicaid, and other third‑party payer applications.
Track and follow‑up to ensure provider numbers are established and linked to the appropriate client group entity and software systems.
Maintain documentation and reporting regarding payer enrollments in process.
Retain records related to completed CMS applications.
Establish close working relationships with clients, operations, and revenue cycle management team.
Proactively obtain, track, and manage all payer revalidation dates for assigned groups/providers.
Add providers to all applicable systems and maintain information to ensure claims are held/released based on enrollment status.
Perform special projects and other duties as assigned.

What you’ll bring

Associate's degree (2 years) required; Bachelor's degree preferred.
At least one year of provider enrollment experience preferred.
Knowledge of CMS, State Medicaid, and third‑party payer enrollment processes.

Nice to have

Bachelor's degree in any related field.
Experience with CMS, State Medicaid, and third‑party payer enrollment.

Skills

Working knowledge of CMS, State Medicaid, and third‑party payer application requirements.Strong oral, written, and interpersonal communication skills.Strong word processing, spreadsheet, database, and presentation software skills.Strong detail orientation skills.Strong analytical skills.Strong decision‑making skills.Strong problem‑solving skills.Strong organizational skills.Strong time‑management skills.Ability to maintain strict confidentiality of protected provider and health information.

Benefits

Ventra performance-based incentive plan
Robust Rewards & Recognition program

Education

Associate's degree