Obtelecare Payor Enrollment Specialist

Ob Hospitalist Group•,

1d•$22 - $24•Remote

About The Position

OB Hospitalist Group (OBHG) is seeking a detail-oriented Payor Enrollment Specialist to join our Revenue Cycle Management team. This position plays a critical role in ensuring our Obtelecare healthcare providers are accurately enrolled and credentialed with Medicaid, Managed Care, and commercial insurance payors, supporting uninterrupted patient care and provider reimbursement. If you thrive in a fast-paced healthcare administration environment, possess strong organizational skills, and enjoy managing complex enrollment and credentialing processes, we encourage you to apply. The Payor Enrollment Specialist is responsible for processing provider enrollment applications while maintaining accurate provider records and managing relationships with insurance payors, healthcare facilities, and internal stakeholders. This role requires excellent attention to detail, strong follow-through, and the ability to manage multiple priorities while meeting established turnaround times and quality standards.

Requirements

High School Diploma or equivalent required.
1+ years of payor enrollment experience, specifically with Medicaid and Managed Care payors.
Strong organizational skills with exceptional attention to detail.
Excellent verbal communication and professional telephone etiquette.
Proficiency with Microsoft Office applications, including Word and Excel.
Ability to manage multiple priorities while maintaining accuracy and meeting deadlines.
Strong analytical and problem-solving abilities.
Exceptional attention to detail and data accuracy.
Ability to work independently in a remote environment.
Customer-service mindset when interacting with providers and payors.
Commitment to confidentiality, compliance, and quality outcomes.

Nice To Haves

Some college coursework or equivalent professional experience.
Understanding of medical terminology.
Experience maintaining provider credentialing databases and CAQH profiles.
Experience working in healthcare credentialing, enrollment, or revenue cycle operations.

Responsibilities

Prepare, submit, and track provider enrollment applications for Medicaid, Managed Care, and other insurance payors.
Manage payer-specific enrollment requirements across multiple facilities and contracts.
Monitor enrollment application statuses and follow up as needed.
Update and manage provider CAQH profiles, licensure information, board certifications, and insurance documentation.
Ensure provider rosters remain accurate and current.
Maintain CRM records, mail logs, and utility logs.
Build and maintain professional relationships with providers, payors, hospitals, and internal/external contacts.
Respond promptly to payor enrollment requests.
Coordinate signature requests and ensure timely completion of required documentation.
Escalate unresolved provider documentation issues when necessary.
Ensure all Protected Health Information (PHI) is handled securely and in compliance with company standards.
Support compliance initiatives by communicating issues and status updates appropriately.
Meet established accuracy and turnaround-time expectations.

Benefits

Competitive compensation
Comprehensive benefits
Professional growth opportunities
Collaborative culture
Paid time off & holidays
Medical, dental, and vision insurance
Health Savings Account (with employer contribution) or Flexible Spending Account options
Paid Parental Leave
Employer Paid Basic Life and AD&D Insurance
Employer Paid Short- and Long-Term Disability
Optional Short Term Disability Buy-up plan
401(k) Savings Plan, with ROTH option
Legal Plan
Identity Theft Services
Mental health support and resources
Employee Referral program