Payer Enrollment Coord in United States at Jobgether

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Payer Enrollment Coord in the United States.

This role plays a key part in ensuring smooth provider enrollment and reimbursement processes within a complex healthcare environment. You will support the accurate and timely enrollment of healthcare providers with Medicare, Medicaid, and commercial payers, helping remove administrative barriers that impact patient access to care. Acting as a central coordination point, you will work closely with providers, billing teams, and internal departments to manage applications, resolve enrollment issues, and maintain compliance with payer requirements. The environment is detail-driven and highly collaborative, requiring strong organizational skills and a service-oriented mindset. You will also track application status, ensure documentation accuracy, and support ongoing revalidation cycles. This position is essential in maintaining operational continuity and supporting efficient healthcare delivery systems.

• Process and manage provider enrollment applications for government and commercial payers, ensuring accuracy and completeness
• Determine practitioner eligibility and complete initial enrollments, revalidations, and updates for Medicare, Medicaid, and commercial payer systems
• Coordinate submission of electronic and paper applications while ensuring compliance with payer-specific requirements and deadlines
• Maintain and track provider enrollment data, ensuring accurate documentation and timely updates across internal systems and databases
• Communicate application status, approvals, and required actions to providers, departments, and external stakeholders
• Support provider onboarding processes, including tax ID setup, CAQH profile assistance, and electronic billing configurations (ETIN setup)
• Collaborate with billing, administrative, and clinical departments to gather required documentation and resolve enrollment issues
• Respond to inquiries regarding payer enrollment and reimbursement processes, ensuring timely resolution of issues
• Monitor revalidation cycles and ensure timely completion of all required updates for enrolled providers
• Serve as backup support for team members and contribute to departmental initiatives and process improvements

• Associate’s degree or equivalent combination of education and relevant experience
• Minimum of 1 year of experience in healthcare administration, provider enrollment, credentialing, or a related field
• Strong understanding of Medicare, Medicaid, and commercial payer systems and reimbursement processes
• Excellent attention to detail with the ability to manage complex documentation and regulatory requirements
• Strong organizational and time management skills with the ability to meet strict deadlines
• Effective communication skills for interacting with providers, internal teams, and external stakeholders
• Proficiency with databases, administrative systems, and standard office tools
• Ability to work independently while collaborating in a team-oriented healthcare environment
• Strong problem-solving skills with a focus on accuracy and compliance
• Familiarity with CAQH, ETIN setup, or healthcare enrollment systems is a plus

• Competitive hourly pay range: $18.65 – $26.11 USD
• Full-time schedule with stable weekday daytime hours
• Comprehensive health, dental, and vision insurance options
• Retirement savings programs and employee support resources
• Paid time off and holidays in accordance with institutional policies
• Opportunity to work in a mission-driven academic healthcare environment
• Exposure to complex payer systems and professional growth in healthcare administration
• Inclusive workplace culture focused on equity, respect, and collaboration