Payer Enrollment Specialist

Job Summary

Payer Enrollment Specialist, responsible for managing the payer enrollment process for independent providers, working full-time in a healthcare setting.

Key Responsibilities

• Enrolls providers with commercial health plans, Medicaid, and Medicare
• Maintains and updates provider enrollment status in the credentialing system
• Collaborates with the credentialing team and follows up with health plans until providers are approved

Required Qualifications

• 2+ years of experience in payer enrollment
• Experience with various payer portals
• Medicare/Medicaid payer experience required
• Experience with credentialing software preferred
• Ability to comply with HIPAA rules and regulations