Senior Payer Enrollment Specialist
About The Position
US Fertility, the nation’s leading partnership of physician-led fertility practices, is redefining what it means to build a career in reproductive medicine. Our team members choose to build their career home at US Fertility because of the hope we inspire in our patients, the lives we help bring into the world, and the culture of excellence we foster across our organization. We share a deep commitment to continuously improving the patient experience and advancing research and development in one of the most dynamic and impactful fields of medicine. Through our national network of premier fertility centers we combine clinical expertise, scientific innovation, and compassionate care. The work we do building families offers purpose, challenge, and personal reward—and we’re just getting started. We have an immediate opening for an Senior Payer Enrollment Specialist to join our team at US Fertility. This role provides the opportunity to grow within a nationally respected organization while remaining closely connected to the patients and teams you support every day.
Requirements
- An associate degree and three years of payer enrollment experience, or five years of experience in lieu of a degree
- Knowledge of payer enrollment, provider participation, and applicable regulatory requirements
- Proficiency with Microsoft Office, CAQH ProView, NPPES, OIG, and payer portals
- Strong attention to detail, organization, and documentation skills
- Effective and professional communication with internal and external stakeholders
- Ability to maintain confidentiality when handling sensitive provider and organizational information
- Ability to Research and resolve payer enrollment and provider data issues effectively
- Ability to manage multiple priorities and deadlines in a fast-paced environment
- Strong customer service, problem-solving, teamwork, and adaptability
Nice To Haves
- Bachelor’s degree preferred
- CPCS, CPES, RHIA, or RHIT certification; CPCS required within two years if not already certified
Responsibilities
- Manage initial and recredentialing payer enrollment for groups, facilities, physicians, and APPs across insurance plans
- Coordinate the addition of new service locations and maintain accurate payer contract participation
- Manage monthly payer roster submissions and maintain efficient enrollment workflows, policies, and procedures
- Utilize payer portals, including Availity, UHC, Kaiser, and LexisNexis, to manage enrollment and provider data
- Maintain accurate provider, practice, and group information across NPPES, CAQH, payer portals, and directories
- Conduct quarterly provider data attestations and validate demographic and participation information
- Audit enrollment activities and documentation to ensure accuracy, compliance, and adherence to established processes
- Research and resolve payer enrollment issues while ensuring provider information meets payer and organizational requirements
- Coordinate malpractice insurance certificates and annual Certificates of Insurance (COI) renewals
- Support, train, and mentor the payer enrollment team while contributing to departmental initiatives and special projects
- Identify and implement process improvements that enhance enrollment efficiency, accuracy, and overall team performance
Benefits
- Medical, dental, and vision insurance
- 401(k) with company match
- Tuition assistance and professional development support
- Performance-based bonus opportunities
- Generous paid time off, paid holidays, and paid parental leave
- Life and disability benefits
- Fertility Discount Program
- Employee wellness and recognition programs
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Associate degree
