Enrollment Specialist

The Role

The Enrollment Specialist is responsible for managing the health plan enrollment process for provider groups and individual practitioners—from initial application to successful participation in payer networks. This role requires someone who is detail-oriented, organized, persistent, and able to communicate clearly across internal teams, clients, and payer representatives.

You'll help ensure that our clients can accept insurance by getting their providers enrolled with commercial and government payers (Medicare, Medicaid, etc.). Whether you're experienced in payer enrollment or new to healthcare and eager to learn, this role gives you a front-row seat to how health plans, provider groups, and reimbursement systems actually work.

We are looking for someone to join our team in a full-time or part-time / fractional capacity. Location is flexible, with many individuals remote but hubs in Charlottesville, VA, Washington D.C., and Philadelphia, PA.

What You’ll Do

Key Responsibilities

• Manage payer enrollment applications across multiple providers, specialties, and geographies.
• Research payer-specific processes, requirements, and forms (e.g., CAQH, PECOS, Medicaid portals).
• Track and follow up on in-progress applications to ensure completion—via phone, email, and payer portals.
• Identify and resolve issues that cause enrollment delays, documenting outcomes and escalating as needed.
• Request and organize documentation from clients, such as licenses, W-9s, NPIs, and malpractice coverage.
• Maintain accurate, up-to-date records in Tribunus' enrollment tracking systems and ensure all submitted information is accurate.
• Provide clients with updates, status reports, and estimated timelines for enrollment completion.
• Build relationships with payer reps, internal teams, and clients to streamline communication and reduce processing times.

Qualifications

You’re a Great Fit If You Have:

• A knack for managing details without losing sight of the big picture.
• Strong communication skills—especially when asking questions, following up, or explaining complex processes.
• The persistence and patience to chase down answers from payers and clients without letting things fall through the cracks.
• The ability to manage multiple processes at once, each at a different stage and with different rules.
• A solutions mindset—when something doesn’t go as planned, you get curious and dig in.
• Comfort and speed with using online systems, portals, and Excel or Google Sheets to manage workflows.
• A proactive approach to learning—you seek to understand how things work, not just check boxes.

Bonus if you have/are experienced in:

• Healthcare operations, revenue cycle, or medical practice administration
• Working with health plans (payer credentialing, contracting, enrollment)

• CAQH, PECOS, Medicare/Medicaid enrollment systems
  
  

Compensation & Benefits

We are committed to transparency and equity in our hiring process and offer competitive benefits.

• Base: Independent contractors in this role can expect to make $30-40/hour. Full-time staff members can expect a salary in the range of $45,000 - $60,000 (commensurate with experience).
• Performance Bonus: Eligible for additional annual performance bonus based on organizational scaling metrics.
• Flexibility: We are open to part-time and hourly arrangements.
• Benefits: For full-time individuals, additional benefits include a comprehensive medical benefits package and employer contribution to a 401k plan.

What Makes Tribunus Health Different

Our people are our edge. We’re a mission-driven, high-performing team that works hard, learns fast, and shows up for one another. We believe in clear communication, mutual respect, and doing work that has real impact—for our clients and the healthcare system.

We live by these values:

• Candor: We believe that honesty is empowering.
• Bias for action: We are solutions oriented.
• Collaboration: We are committed to client success.
• Expertise: We develop a deep understanding of our industry, clients, landscape.
• Innovation: We strive to be the first to know and first to act.

Equal Opportunity Employer

Tribunus Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.