Revenue Cycle Payer Enrollment Specialist (FT- 1.0 FTE, Day Shift, Remote Possible)
Job Overview
Location
Remote
Job Type
Full-time
Category
Software Engineering
Date Posted
July 9, 2026
Full Job Description
📋 Description
- • The Revenue Cycle Enrollment Specialist coordinates, completes, and monitors the provider/facility payer credentialing process.
- • Processes credentialing and re-credentialing applications for healthcare providers.
- • Sends, reviews, and verifies credentialing applications.
- • Loads and maintains provider information in an online credentialing database system.
- • Tracks license and certification expirations for medical staff to ensure timely renewals.
- • Handles and resolves inquiries regarding credentialing information, process, or status.
- • Collects, reviews, and prepares data for final medical staff and allied health professionals “Providers” credentials review for the clinic, hospital, and payer environments and Bozeman Health “Facility” payer enrollments.
- • Work with Providers and department leaders to obtain any missing information.
- • Process requests for additions or changes in payer enrollment.
- • Ensure that requisite licenses, malpractice coverage, and certifications are current for all Providers and Facilities.
- • Perform delegated credentialing for all applicable payers and supplies applicable payers with timely provider rosters.
- • Maintain files on Providers and Facilities, including information related to licensure or clinical practice disciplinary actions, clinical practice restrictions, and medical malpractice suits, judgments, and settlements.
- • Provide requested reports as directed.
- • Maintain current knowledge of and compliance with medical staff accreditation standards with applicable regulatory agencies and licensing standards.
- • Participate in the development and implementation of credentialing policies and procedures.
- • Manage payer response to re-validation for Provider and Facility enrollments to avoid any lapse in enrollment.
- • Provides concise, timely communication to appropriate leadership regarding potential credentialing issues.
🎯 Requirements
- • Associate’s degree; equivalent combination of education and experience will be considered.
- • Current Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff Management (CPMSM) by the National Association of Medical Staff Services (NAMSS) or obtained within two (2) years of hire.
- • Two (2) years of healthcare experience.
- • Preferred: One (1) year of payer credentialing experience.
🏖️ Benefits
- • Competitive salary.
- • Comprehensive benefits package.
- • Paid time off.
- • Opportunities for professional growth and development.
- • Remote work possible.
Skills & Technologies
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About Bozeman Health, Inc.
Bozeman Health is a nonprofit, integrated health system headquartered in Bozeman, Montana, serving the healthcare needs of Southwest Montana and surrounding regions. The organization operates a full-service acute care hospital, numerous primary and specialty care clinics, urgent care centers, and a range of outpatient services including rehabilitation, home health, and hospice. Bozeman Health employs a multidisciplinary team of physicians, nurses, and support staff to deliver patient‑centered care across the continuum, emphasizing quality, safety, and community wellness. As a mission‑driven entity, it reinvests earnings into facility improvements, technology advancements, and outreach programs aimed at improving population health and access to care.
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