Payer Enrollment Coordinator

Job Summary

To minimize reimbursement barriers for patients and providers, the full-time remote Payer Enrollment Coordinator will manage the enrollment process for government and commercial payers, ensuring accurate application submissions and effective communication with healthcare providers.

Key responsibilities

• Determines practitioner eligibility and processes enrollment applications for government and non-delegated commercial payers
• Tracks and maintains provider enrollment application statuses and collaborates with various departments to ensure compliance
• Responds to inquiries from healthcare organizations and serves as a backup for payer enrollment staff

Required qualifications

• Associate's degree and 1 year of relevant experience required
• Knowledge of private payer, Medicare, and Medicaid reimbursement processes
• Experience with electronic application submissions and provider enrollment systems
• Ability to analyze application documents for accuracy and completeness
• Familiarity with CAQH profiles and credentialing processes preferred