Payer Enrollment Specialist

Job Summary

A company is looking for a Payer Enrollment Representative to manage the credentialing process and support healthcare provider enrollment activities.

Key Responsibilities

• Coordinate and monitor the credentialing process for facilities and providers
• Analyze and resolve issues related to physician enrollment and claims payment
• Maintain internal databases and ensure compliance with applicable policies and regulations

Required Qualifications

• Bachelor's degree in business or healthcare administration preferred, or 4-5 years of relevant experience
• Minimum of 2-3 years' experience in a healthcare organization or large hospital facility
• Experience with credentialing software and databases
• CPCS or CPMSM certification preferred, but not required
• Proficiency in MS Office suite and advanced data analysis tools