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Become A Provider Enrollment Specialist

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Working As A Provider Enrollment Specialist

  • Getting Information
  • Analyzing Data or Information
  • Communicating with Supervisors, Peers, or Subordinates
  • Interacting With Computers
  • Evaluating Information to Determine Compliance with Standards
  • Mostly Sitting

  • $74,000

    Average Salary

What Does A Provider Enrollment Specialist Do

Compensation, benefits, and job analysis specialists conduct an organization’s compensation and benefits programs. They also evaluate position descriptions to determine details such as a person’s classification and salary.

Duties

Compensation, benefits, and job analysis specialists typically do the following:

  • Research compensation and benefits policies and plans to ensure the organization’s offerings are current, cost effective, and competitive
  • Use data and cost analyses to compare compensation and benefits plans
  • Evaluate position descriptions to determine a person’s classification and salary
  • Ensure that the company complies with federal and state laws
  • Collaborate with outside partners, such as benefits vendors, insurance brokers, and investment managers 
  • Design and prepare reports summarizing research and analysis
  • Present recommendations to other human resources managers

Some specialists perform tasks within all areas of compensation, benefits, and job analysis. Others specialize in a specific area.

Compensation specialists assess the organization’s pay structure. They research compensation trends and review surveys to determine how their organization’s pay compares with that of other organizations in a particular industry and region. They often perform complex data or cost analyses to evaluate compensation policies. For example, they may research and analyze the cost of different pay-for-performance strategies, which offer rewards such as bonuses, paid leave, and other incentives.

Compensation specialists also must ensure that the organization’s pay practices comply with federal and state laws and regulations, such as workers’ compensation, minimum wage, overtime, and equal pay laws.

Benefits specialists administer the organization’s benefits programs, which include retirement plans, leave policies, wellness programs, and insurance policies, such as health, life, and disability insurance. They research and analyze benefits plans, policies, and programs, and make recommendations based on their analysis. They must frequently monitor government regulations, legislation, and benefits trends to ensure that their programs are current, legal, and competitive.

Benefits specialists also work closely with insurance brokers and benefits carriers and manage the enrollment, renewal, and delivery of benefits to the organization’s employees.

Job analysis specialists, also known as position classifiers, evaluate positions by writing or assigning job descriptions, determining position classifications, and preparing salary scales. When an organization introduces a new job or reviews existing jobs, specialists must research and make recommendations to managers on the status, description, classification, and salary of those jobs.

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How To Become A Provider Enrollment Specialist

Compensation, benefits, and job analysis specialists typically need a bachelor’s degree, and some specialists need related work experience.

Education

Most employers require that compensation, benefits, and job analysis specialists have a bachelor’s degree. Many specialists have a degree in human resources, business administration, finance, communication, or a related field. Some employers may accept previous work experience in lieu of a formal degree.

Not all colleges and universities offer an undergraduate degree in human resources, but many offer courses in human resources management, compensation analysis, and benefits administration. Students with a background in other disciplines may benefit from taking courses in business, management, finance, and accounting.

Work Experience in a Related Occupation

For many jobs, compensation, benefits, and job analysis specialists must have previous work experience. Employers commonly require that the previous experience includes performing compensation analysis, benefits administration, or general human resources work. Experience in related fields such as finance, insurance, or business administration, also may be beneficial.

Jobseekers without a degree in human resources must have relevant work experience. Some workers may gain this experience through internships. However, most gain experience from working in human resources.

Licenses, Certifications, and Registrations

Although certification is not required, it can demonstrate professional expertise. Some employers prefer to hire certified candidates, but many employers will have their employees become certified after they are already working. Certification programs for management positions often require several years of related work experience in order to qualify for the credential.

Many associations for human resources workers offer classes to enhance the skills of their members. Some associations, including the International Foundation of Employee Benefit Plans and WorldatWork, offer certification programs that specialize in compensation and benefits. Others, including the HR Certification Institute and the Society for Human Resource Management, offer general human resources credentials.

Advancement

Compensation, benefits, and job analysis specialists may advance to a compensation and benefits manager or a human resources manager position. Specialists typically need several years of work experience to advance.

Important Qualities

Analytical skills. Many specialists perform data or cost analyses to form logical conclusions. For example, they may analyze the cost of choosing a particular salary scale for a class of workers.

Business acumen. Specialists must understand basic finance and accounting.

Communication skills. Specialists often work with employees throughout their organization to provide information on compensation and benefits. They may give presentations or advise managers or employees about compensation policies or benefit plans.

Critical-thinking skills. Specialists must think critically when evaluating job positions, salary scales, promotion practices, and other compensation and benefits policies.

Detail oriented. Specialists must pay attention to detail, especially when ensuring that the organization is compliant with federal and state laws.

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Provider Enrollment Specialist Career Paths

Provider Enrollment Specialist
Office Manager Human Resources Manager
Director Of Human Resources
10 Yearsyrs
Office Manager Operations Manager General Manager
Account Manager
5 Yearsyrs
Office Manager Owner Vice President
Executive Vice President
11 Yearsyrs
Analyst Consultant Manager
Senior Manager
9 Yearsyrs
Analyst Consultant Assistant Manager
Service Manager
6 Yearsyrs
Analyst Manager
Human Resources Manager
7 Yearsyrs
Assistant Manager Manager
Finance Manager
7 Yearsyrs
Assistant Manager Case Manager
Patient Care Manager
5 Yearsyrs
Team Leader Project Manager Director
Regional Director
9 Yearsyrs
Team Leader Store Manager Account Manager
Client Services Manager
7 Yearsyrs
Team Leader Supervisor Account Manager
Relationship Manager
6 Yearsyrs
Store Manager Operations Manager
Practice Manager
9 Yearsyrs
Store Manager General Manager Assistant Director
Director Of Admissions
7 Yearsyrs
Consultant Supervisor Department Manager
Administrative Manager
6 Yearsyrs
Supervisor Assistant General Manager Front Office Manager
Business Office Manager
7 Yearsyrs
Enrollment Coordinator Account Manager Recruitment Manager
Assistant Director Of Admissions
5 Yearsyrs
Senior Customer Service Representative Senior Sales Representative
Senior Specialist
7 Yearsyrs
Enrollment Coordinator
Enrollment Manager
7 Yearsyrs
Operations Analyst Systems Administrator Network Manager
Manager, Provider Relations
8 Yearsyrs
Medical Staff Coordinator Human Resources Generalist Benefits Analyst
Senior Claims Examiner
7 Yearsyrs
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Top Skills for A Provider Enrollment Specialist

  1. Provider Enrollment Applications
  2. Providers
  3. Medicare Program
You can check out examples of real life uses of top skills on resumes here:
  • Verify information, research application details, and make decisions on provider enrollment applications based on the Georgia Medicaid program guidelines.
  • Assisted approximately 100 providers daily in a fast-paced environment, guiding them through the enrollment process and facilitating approval.
  • Analyzed and processed various types of applications for providers enrolling or already established in the Medicare program.
  • Provided in-depth research before making determinations on allowing providers the privilege to bill Medicare.
  • Enrolled hospital clients in Out-of-State Medicaid programs via paper/online applications for claim billing solutions; averaged 25-30 hospital caseload

Provider Enrollment Specialist Resume Examples And Tips

The average resume reviewer spends between 5 to 7 seconds looking at a single resume, which leaves the average job applier with roughly six seconds to make a killer first impression. Thanks to this, a single typo or error on your resume can disqualify you right out of the gate. At Zippia, we went through over 2,387 Provider Enrollment Specialist resumes and compiled some information about how best to optimize them. Here are some suggestions based on what we found, divided by the individual sections of the resume itself.

Learn How To Create A Top Notch Provider Enrollment Specialist Resume

View Resume Examples

Provider Enrollment Specialist Demographics

Gender

Female

71.6%

Male

16.5%

Unknown

11.9%
Ethnicity

White

62.9%

Hispanic or Latino

14.2%

Black or African American

13.5%

Asian

6.6%

Unknown

2.8%
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Foreign Languages Spoken

Spanish

58.0%

Carrier

10.0%

Portuguese

6.0%

Polish

4.0%

Cornish

2.0%

Dakota

2.0%

French

2.0%

Aramaic

2.0%

Gujarati

2.0%

Hindi

2.0%

Russian

2.0%

Arabic

2.0%

Lingala

2.0%

Hmong

2.0%

Italian

2.0%
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Provider Enrollment Specialist Education

Schools

University of Phoenix

26.0%

Florida State College at Jacksonville

10.0%

Webster University

7.7%

Strayer University

6.8%

University of South Carolina - Columbia

4.4%

Grayson College

3.8%

Florida State University

3.8%

Kaplan University

3.8%

Ashford University

3.5%

University of Alabama at Birmingham

3.5%

American InterContinental University

3.5%

Harrisburg Area Community College - Harrisburg

3.2%

University of North Florida

2.7%

Walden University

2.7%

Saint Leo University

2.7%

Tennessee State University

2.4%

Austin Community College

2.4%

Midlands Technical College

2.4%

Remington College

2.4%

South University

2.4%
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Majors

Business

32.8%

Health Care Administration

16.3%

Management

5.4%

Medical Assisting Services

5.3%

Criminal Justice

4.3%

Psychology

4.3%

Nursing

3.5%

Accounting

3.3%

Communication

3.2%

General Studies

3.1%

Education

2.7%

Human Resources Management

2.7%

Human Services

2.1%

Political Science

1.9%

Computer Information Systems

1.8%

Legal Support Services

1.6%

Liberal Arts

1.5%

Computer Science

1.4%

Biology

1.4%

English

1.4%
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Degrees

Bachelors

35.2%

Other

25.5%

Associate

15.1%

Masters

12.4%

Certificate

6.7%

Diploma

3.9%

License

0.9%

Doctorate

0.4%
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