Payor Enrollment Specialist

symplr • ,

4d • $17 - $20

About The Position

The Payor Enrollment Specialist enrolls providers in Federal, State, and commercial health plans. The role involves corresponding with provider offices, gathering the information needed for enrollment, completing applications, and following up with health plans until providers are fully enrolled. The specialist also advises provider offices on enrollment best practices and procedures.

The role requires communicating application steps and timelines, collecting signatures and supporting documents, entering provider and enrollment data into software, and maintaining enrollment records. The specialist prepares and distributes progress reports every 2–3 weeks and submits monthly invoices in accounting software. Other responsibilities may be assigned by the supervisor.

Requirements

• Healthcare experience.
• Experience with Microsoft Office, including Excel and Word, and Adobe or FoxIt.
• Superior organizational skills.
• Good communication skills.
• Positive attitude.
• Attention to detail.
• Critical-thinking and problem-solving skills.
• Ability to prioritize assigned projects.
• Ability to exercise sound judgment.
• Ability to make independent decisions when managing assigned projects.
• Ability to manage time without immediate supervision.
• Ability to maintain self-motivation.

Nice To Haves

• 1–2 years of college or applicable work experience preferred.

Responsibilities

• Advise designated provider-office contacts about the paperwork and information needed to begin applications, conducting research as needed.
• Explain the sequential steps of the enrollment process and set timeline expectations through completion.
• Follow up with designated contacts to obtain application signatures and collect required supporting documents.
• Enter provider demographics and enrollment data into the software system.
• Scan enrollment documents and applications into the software system.
• Contact health plans to request enrollment application packages or determine required actions, and follow up by telephone or email until provider numbers are issued.
• Prepare and distribute Payor Affiliation Reports and Status Notes to designated contacts for each provider every 2–3 weeks.
• Interact positively in a team environment and demonstrate teamwork skills.
• Prepare and submit monthly invoices in accounting software, showing new and completed work.
• Perform other responsibilities as assigned by the supervisor.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed