Payor Enrollment Specialist

Job Summary

A company is looking for a Payor Enrollment Specialist responsible for assisting with all aspects of the Payor Enrollment process.

Key Responsibilities

• Credential and re-credential providers with insurance payors
• Maintain credentialing matrices and provide follow-up correspondence with insurance payors
• Assist providers with credentialing and payor enrollment inquiries

Required Qualifications

• CREDENTIALING CERTIFICATION and a Bachelor's degree in business administration, healthcare administration, or equivalent experience
• 3+ years of experience in payor enrollment and registration functions
• Strong understanding of payor enrollment processes and healthcare regulations
• Proficiency with credentialing software and Microsoft Office Suite
• Certifications such as Certified Provider Credentialing Specialist (CPCS) or Certified Medical Services Management (CPMSM) preferred