Payer Enrollment Specialist

Description:

As our clinical network rapidly expands, we’re seeking a Payer Enrollment Specialist to oversee the insurance enrollment process for both our existing and incoming clinicians. In this role, you’ll ensure smooth and accurate insurance applications, manage submissions, resolve payer issues, and maintain up-to-date provider information across directories. You’ll also collaborate with internal teams and serve as a key point of contact for our providers. This is an exciting opportunity for a detail-oriented individual with experience in credentialing, a knack for working independently, and a passion for contributing to a meaningful mission while growing your career.

Responsibilities
 

• Preparing applications for various insurance payers (Commercial and Medicaid insurance) and ensuring they are submitted accurately and on time
• Monitoring the status of applications, following up with payers, and resolving any issues that arise during the enrollment process
• Serve as a point of contact for providers, answering questions about the enrollment process and addressing any issues or concerns
• Maintain provider demographic changes with payer directories
• Support with Payer Roster maintenance, submission, and audits
• Collaborate with other teams within the organization
• Maintains confidentiality of all provider and credentialing-related information
• Other duties, as assigned
   

Requirements
 

• Bachelor’s degree; preferred
• A minimum of 2 years of credentialing or enrollment experience
• A minimum of 2 years of medical practice business office experience
• High attention to detail and accuracy
• Able to work independently and focus for extended periods
• Computer literate with proficiency in web-based products and the ability to learn new applications easily
• Excellent written and oral communication skills
• Experience working remotely; preferred