Payer Relations Specialist
About The Position
StationMD is a telehealth company dedicated to serving individuals with intellectual and/or developmental disabilities (I/DD). All StationMD clinicians are board-certified and specially trained to treat individuals with I/DD. Clinicians are available 24/7 via telemedicine for urgent and non-urgent medical matters. StationMD also offers scheduled psychiatry visits via telemedicine to individuals with I/DD. In providing this suite of services, StationMD enables individuals with I/DD faster access to high-quality care and substantially reduces unnecessary medical costs. We are seeking a Payer Relations Credentialing Associate to assist with the process of enrolling healthcare providers with insurance companies, re-credentialing, updating databases, and problem-solving enrollment issues to ensure timely and accurate network participation.
Requirements
- Associate’s degree or equivalent experience in healthcare or business administration
- Minimum of 4 years of credentialing and payer enrollment experience
- Strong understanding of health insurance payors and reimbursement processes
- Experience with credentialing/payor enrollment tracking software (Medallion or similar system)
- Excellent written and verbal communication skills
- Strong organizational and follow-up skills
- Ability to analyze data and identify trends
- Excellent attention to detail and accuracy
- Energy and passion for increasing access to quality healthcare and improving the quality of life for individuals with Intellectual and Developmental Disabilities
Responsibilities
- Prepare and submit initial and renewal credentialing/enrollment applications for providers (physicians, facilities, etc.) with commercial and government payers
- Proactively track and follow up on application statuses, ensuring timely processing and resolving delays
- Maintain accurate provider data within internal and external portals and databases for contracted and non-contracted payers
- Serve as a contact for providers, internal teams, and insurance companies regarding credentialing and enrollment
- Ensure adherence to payer requirements, policies, and regulatory standards
- Troubleshoot contracting processing issues by collaborating cross functionally to develop solutions
- Track provider licenses, certifications, and insurance expirations
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
