Payer Enrollment Coordinator

Job Summary

Collaborating with various departments, the full-time Payer Enrollment Coordinator will manage payer enrollment activities, maintain data integrity, and ensure compliance with regulatory requirements in a remote setting.

Key responsibilities

• Coordinates enrollment functions and maintains data for delegated commercial payer enrollment
• Audits and monitors payer enrollment applications for accuracy and compliance with regulatory standards
• Acts as a liaison between providers and various departments to communicate the status of payer enrollment and resolve issues

Required qualifications

• Associate Degree in business or healthcare-related field or equivalent combination of education and experience
• 3 years of experience in medical staff payer enrollment and/or credentialing functions
• Knowledge of Joint Commission, CMS, and NCQA regulations related to medical staff services
• Experience with Microsoft Office applications
• Strong interpersonal skills for developing relationships with key stakeholders