Healthcare Payer Enrollment Coordinator

6 days ago


Birmingham, Alabama, United States Guidehouse Full time
Job Overview

We are seeking a highly skilled and organized individual to fill the role of Healthcare Payer Enrollment Coordinator.

About the Role

In this position, you will be responsible for ensuring timely and accurate enrollment of healthcare providers with major insurance vendors.

You will manage payer enrollment functions, coordinate closely with the medical credentialing team, resolve enrollment issues, and maintain delegated provider rosters.

About You

To be successful in this role, you should have 1-3 years of experience in payer enrollment or a related field within healthcare billing or provider services.

A high school diploma or equivalent is required, and familiarity with payer enrollment processes and data management practices is essential.

You should possess strong verbal and written communication skills, excellent organizational skills, and the ability to independently prioritize tasks and manage time efficiently.

Responsibilities
  • 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.
  • Work closely with the medical credentialing team to ensure seamless updates for provider enrollments and terminations.
  • Serve as the primary 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.
What We Offer

As a valued member of our team, you can expect a comprehensive benefits package, including medical, dental, and vision insurance, personal and family sick time, company-paid holidays, and more.

We also offer opportunities for professional growth and development, including tuition reimbursement, skills development, and certifications.



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