Payer Enrollment Specialist

Job Family: Patient Account Representative Credentials Travel Required: None Clearance Required: None The Payer Enrollment Specialist is responsible for ensuring the timely and accurate enrollment of healthcare providers with major insurance vendors for a moderately sized medical group. This position manages payer enrollment functions and coordinates closely with the medical credentialing team for provider updates, resolves enrollment issues, and manages delegated provider rosters to ensure compliance with insurance payer requirements. What You Will Do: Payer Enrollment and Complianc e: Complete and manage payer applications for initial enrollment and re-enrollment, ensuring compliance with organizational standards and regulatory requirements. Coordinate with insurance payers to maintain accurate provider enrollment records for both government and commercial payers. Develop and distribute monthly delegated provider rosters, ensuring all provider status information remains current and accurate. Collaboration and Issue Resolution: Work closely with the medical credentialing team to ensure seamless updates for provider enrollments and terminations. Serve as a point of contact for payer enrollment inquiries and issues, providing timely support to both internal teams and external partners. Proactively identify and resolve enrollment-related issues with insurance payers to minimize delays and maintain provider compliance. Data and Enrollment Management: Accurately enter, maintain,