Payer Enrollment Coordinator

Job Summary

To minimize reimbursement barriers for patients and providers, the full-time remote Payer Enrollment Coordinator will manage eligibility determinations, process enrollment applications, and resolve coverage issues while collaborating with healthcare providers and various departments.

Key responsibilities

• Determines practitioner eligibility and processes enrollment applications for government and commercial payers
• Documents and tracks the status of provider enrollment applications and maintains accurate databases
• Responds to inquiries from healthcare organizations and collaborates with internal departments to ensure compliance

Required qualifications

• Associate's degree and 1 year of relevant experience required
• Experience with payer enrollment processes for Medicare, Medicaid, and commercial payers
• Knowledge of healthcare reimbursement structures and policies
• Ability to analyze and verify application documents for accuracy and completeness
• Proficiency in managing electronic submission systems and databases