Job Title : Payer Enrollment Specialist
Location : 100% Remote
Pay Range : $18-$20
The Contract Payer Enrollment Specialist is responsible for the accurate and timely submission of provider and group enrollment applications across multiple health plans on behalf of clients. This role focuses primarily on application submission, with occasional follow-up or completion of requests as needed. The ideal candidate will possess a strong understanding of both Medicare and Medicaid payer enrollment processes — candidates without experience in either program will not be considered. This position requires a high degree of accuracy, attention to detail, and the ability to pivot quickly in a fast-paced, team-oriented environment.
Key Responsibilities
- Prepare and submit provider and group enrollment applications accurately and within established SLAs.
- Maintain an in-depth understanding of payer-specific enrollment requirements, including prerequisites, required forms, completion standards, supporting documentation (e.g., DEA certificates, CVs), and applicable regulations.
- Ensure all necessary supporting documentation is accurately maintained in provider profiles, including onboarding documents, application copies, welcome letters, and other related correspondence.
- Collaborate closely with internal teams, vendors, and payers to resolve issues or obtain missing documentation.
- Manage assigned workloads efficiently while ensuring compliance, accuracy, and timely turnaround.
- Proactively flag barriers or issues in enrollment processing and work with leads to identify solutions.
- Assist across clients and payer lines as needed, demonstrating flexibility and adaptability.
- Perform other duties and responsibilities as assigned.