Payer Enrollment Coordinator

Job Summary

To minimize reimbursement barriers for patients and providers, the full-time remote Payer Enrollment Coordinator will manage provider enrollment applications, resolve coverage issues, and ensure compliance with payer policies.

Key responsibilities

• Determines practitioner eligibility and processes enrollment applications for government and commercial payers
• Documents and tracks the status of provider enrollment applications, maintaining accurate databases for submissions
• Collaborates with providers and departments to secure necessary information and communicate enrollment statuses

Required qualifications

• Associate's degree and 1 year of relevant experience required
• Experience with payer enrollment processes and healthcare reimbursement systems
• Knowledge of Medicare, Medicaid, and private payer structures
• Familiarity with electronic application systems and credentialing
• Ability to collaborate effectively with various stakeholders in a healthcare setting