Medicare Enrollment Specialist
Circle Medical(1 month ago)
About this role
The Medicare Enrollment Specialist manages the full lifecycle of Medicare enrollment for individual providers and group entities at Circle Medical. The role focuses on accurate and timely submission of applications through PECOS, maintaining provider data in NPPES and credentialing systems, and ensuring strict adherence to CMS and HIPAA regulations. This position also serves as a subject matter expert, communicating enrollment statuses and guidance to internal teams and providers. It contributes to continuous process improvement and documentation to keep pace with regulatory changes.
Required Skills
- Medicare Enrollment
- PECOS System
- Provider Credentialing
- Data Entry Accuracy
- Regulatory Compliance
- CMS Knowledge
- HIPAA Compliance
- Provider Support
- Customer Service
- Issue Resolution
+14 more
Qualifications
- High School Diploma
- GED
- Associate’s Degree in Healthcare Administration
- Associate’s Degree in Business
- Bachelor’s Degree in Healthcare Administration
- Bachelor’s Degree in Business
About Circle Medical
circlemedical.comCircle Medical is a full‑service primary care practice offering both in‑person and telemedicine visits with online booking for same‑day and scheduled appointments. The clinic focuses on delivering a better primary care experience—preventive care, chronic condition management, labs, prescriptions, and behavioral health—through convenient virtual and office visits. They accept a wide range of PPO insurance plans and publish transparent self‑pay pricing (e.g., $179 for a first visit, $120 for follow‑ups), with most insured patients reporting low out‑of‑pocket costs. Circle Medical emphasizes accessibility and integrated care delivered by licensed primary care providers.
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