Payer Enrollment Specialist

Job Summary

A company is looking for a Payer Enrollment Specialist.

Key Responsibilities

• Lead in-network enrollment and manage post-execution payer activities
• Oversee out-of-network participation and resolve related issues
• Manage government payer enrollment and maintain compliance with program requirements

Required Qualifications

• High school diploma or equivalent required; Associate's or Bachelor's degree preferred
• 5+ years of experience in payer enrollment or managed care operations
• Experience with provider enrollment systems and payer platforms
• Knowledge of enrollment requirements for hospital-based services
• Relevant credentialing or provider enrollment experience preferred