Payer Enrollment Specialist
Tasks
- Communicate with payers and partners
- Coordinate licensing activities
- Ensure compliance with payer requirements
- Maintain credentialing schedules and documentation
- Maintain payer enrollment guides
- Maintain provider records
- Perform primary source verifications
- Prepare payer enrollment and credentialing reports
- Renew licenses
- Submit payer enrollment applications
- Support credentialing activities
- Track expirables licenses and certifications
- Track payer enrollment statuses
- Update CAQH profiles
Perks/Benefits
Skills/Tech-stack
CAQH | Credentialing | Database Management | Document Tracking | FQHC Credentialing | Google Workspace | HRSA Standards | Healthcare Compliance | License Renewal | Medicaid | Medicaid Credentialing | Microsoft Office | Payer enrollment | Primary Source Verification | Source verification
Education
Related jobs
-
Outreach and Enrollment Specialist USD 46K-54KCase management | Community outreach | Computer Skills | Enrollment assistance | ExcelDental insurance | Medical insurance | Paid Holidays | Paid time off | Retirement planEntry-level Full TimeWest Covina, California, United States1d ago
-
Outreach and Enrollment Specialist USD 46K-54KData collection | Excel | Internet web browsers | Microsoft Office | Microsoft Office 365Dental insurance | Medical insurance | Paid Holidays | Paid time off | Retirement planEntry-level Full TimePomona, California, United States; West Covina, …1d ago
-
FERPA | Google Workspace | ImageNow | MaineStreet | Microsoft ExcelDental insurance | Health insurance | Retirement plan match | Tuition waiver | Vision insuranceEntry-level Full TimePresque Isle, ME, United States R1d ago
-
Fulfillment Specialist USD 38K-42KCause analysis | Data Analysis | Discrepant Material Reporting | Inventory Management | Inventory forecastingEntry-level Full TimeNorman, OK, United States1d ago
-
Enrollment Support Specialist USD 40K-75KCall Center | Customer Service | Data entry | Microsoft Office | Multi-tasking401k employer contribution | Career advancement opportunities | Dental insurance | Flexible work environment | Health insuranceEntry-level Full TimeHome Worker - US, United States2d ago
-
Availity | CAQH | Credentialing | Healthcare payer | Insurance PayerHealthcare employer benefits | Hybrid work | Weekday scheduleMid-level Full Time850 Poplar, United States R2d ago
-
Patient Enrollment Specialist USD 50K-58KCustomer Relationship Management | Customer relationship | Data tracking | Database Management | Lead generationBonus eligible | Performance-based bonusesEntry-level Full TimePhoenix, AZ, United States2d ago
-
Dual Enrollment Specialist USD 30K-30KData Privacy | Data Security | Data entry | Data verification | Database AdministrationBackground check required | Flexible schedule | Travel opportunitiesEntry-level Part TimeMcMinnville2d ago
-
Payor Contractor Enrollment Specialist USD 65K-86KBundled payments | Claims Processing | Contract Analysis | Contract Database | Contract ManagementMid-level Contract Full TimeBrentwood, TN, United States3d ago
-
Enrollment Specialist (Spanish Preferred) USD 56K-68KCare Coordination | Eligibility assessment | Health information | Health information management | Information ManagementHealth insurance | Professional development support | Retirement plan | Tuition reimbursementMid-level Full TimeCentral Islip, NY, United States3d ago
-
Technical Sales Specialist (BioAnalytics) USD 90K-125KCRM | Microsoft Office | Salesforce | Sfdc401k matching | Dental insurance | EAP | FSA | Flexible work schedulesMid-level Full TimeHome Office United States of America R4d ago
-
Specialist, Customer Service & Fulfillment USD 32K-60KBusiness Intelligence | Customer Service | EDI | Inventory Management | Microsoft Office401k match | Employee assistance program | Paid time off | Parental leave | Tuition reimbursementEntry-level Full TimeWI De Pere, United States4d ago
-
Provider Enrollment Specialist USD 48K-52KAvaility | Billing | CAQH | Credentialing | Cycle management401k matching | Dental insurance | Health insurance | Paid time off | Vision insuranceMid-level Full TimeNY - Remote, United States R4d ago
-
Provider Enrollment Specialist USD 48K-52KAvaility | CAQH | Credentialing | Cycle management | File Management401k match | Dental insurance | Health insurance | Paid time off | Vision insuranceMid-level Full TimeNY - Remote, United States R4d ago
-
Availity | CAQH | Credentialing | Microsoft Excel | Microsoft OneNoteRemote work | Weekday scheduleMid-level Full TimeRemote Associate - Mississippi, United States R4d ago
-
Senior Data Governance Specialist USD 110K-140KAudit Support | CCPA | Cybersecurity | Data Classification | Data GovernanceTravel as neededSenior-level Full TimeSt. Louis, MO, US, 631467d ago
-
Enrollment Trainer USD 55K-79KAdult Learning | Adult learning theory | CBMS | CHPplus | CICPChildcare discount programs | Comprehensive health coverage | Dental insurance | Employee well-being programs | Free student loan coachingMid-level Full TimeMain Campus - Pavilion I, United …7d ago
-
Enrollment Specialist USD 36KCRM systems | Data entry | Database Management | Document Review | Mail MergeEntry-level Full TimeCleveland, OH - Selman, United States7d ago
-
Student Enrollment Specialist USD 54KCRM | Communication | Customer Service | Enrollment Management | Microsoft Office401k with company match | Dental insurance | Employee Assistance Program (EAP) | Health insurance | Life insuranceEntry-level Full TimePhoenix, AZ7d ago
-
Mortgage Fulfillment Specialist USD 50K-85KCustomer Service | Data review | Document processing | Federal regulations | Fee analysis401k plan | Paid training | Tuition reimbursementMid-level Full TimeJacksonville, FL - 100 W Bay …8d ago
-
APIs | Airtable | Anthropic APIs | Asana | Automation AnywhereRemote work | U S business hours autonomySenior-level Full TimeUnited States - Remote R8d ago
-
Enrollment Specialist (OR) USD 36K-36KAdministrative procedures | Administrative support | Customer Service | Document Management | File ManagementFlexible paid time offEntry-level Full TimeEugene, Oregon, United States R8d ago
-
Enrollment Specialist (OR) USD 34K-36KCustomer Service | Data Accuracy | HIPAA | Microsoft OfficeBenefits | Competitive wages | Flexible paid time off | Professional growth opportunitiesEntry-level Full TimePortland, Oregon, United States R8d ago
-
Benefit Services - Member Fulfillment USD 40K-46KAdobe | Data Accuracy | Data entry | Google Workspace | KPI Management401k match | Employee assistance program | Health insurance | Hybrid work schedule | Medical insuranceEntry-level Full TimeDenver, CO - Hybrid R8d ago
-
Enrollment Specialist USD 42K-46KClaim processing | Compliance | Customer Service | Data entry | Document verificationSenior-level Full TimeBronx, NY, United States8d ago