Payor Enrollment Specialist

3 days ago


Phoenix, Arizona, United States HonorHealth Full time
Job Summary

The Payor Enrollment Specialist plays a critical role in supporting the processing of payor applications and reapplications. This position is responsible for providing enrollment and payor credentialing information to insurance and health plans, ensuring compliance with state statutes and regulatory agencies.

Key Responsibilities
  • Provides payor enrollment and credentialing support to the credentialing manager, maintaining a sound working knowledge of payor enrollment and credentialing.
  • Processes health plan initial applications and reappointment applications for completeness and in accordance with appropriate standards, communicating with health plans during the enrollment process.
  • Maintains the payor enrollment and credentialing database for physicians and faculty, ensuring data accuracy and preparing reports as requested.
  • Maintains adherence to professional confidentiality standards, ensuring data security and confidentiality.
Requirements
  • High School Diploma or GED required.
  • 2 years of experience in credentialing, payor enrollment, medical staff, or administrative assistant roles in a hospital or healthcare environment.
About HonorHealth

HonorHealth is one of Arizona's largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. Our comprehensive network encompasses six acute-care hospitals, an extensive medical group, and a range of healthcare services.

We strive to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. If you're passionate about delivering exceptional patient care and making a meaningful impact, we invite you to explore opportunities with HonorHealth.



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