Provider Enrollment Specialist

 Posted 4 days ago
     
 $20 - $25 per hour
  
2-5 years experience
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AI Summary

Facilitate the enrollment and contracting process for healthcare providers with Commercial, Medicare, and Medicaid payers. Act as the primary point of contact for providers to ensure compliance with payer policies and manage detailed contract records.

Job description:
Assured Health is seeking an experienced Payer Enrollment Specialist to join our Provider Services team, focusing on assisting healthcare providers and provider groups in enrolling and contracting with Commercial, Medicare, and Medicaid payers. This role is a great fit for professionals who are experienced in handling payer applications across multiple lines of business and have a deep understanding of healthcare provider needs.
Responsibilities:

  • Facilitate the payer enrollment and contracting process for healthcare providers across Commercial, Medicare, and Medicaid, with a particular focus on behavioral health providers.

  • Act as the primary point of contact for providers navigating payer policies and requirements, ensuring compliance and understanding across all applicable lines of business.

  • Assist providers in completing and submitting Commercial, Medicare, and Medicaid applications accurately and efficiently.

  • Manage detailed records of provider contracts, enrollment details, and correspondence with payers.

  • Address and resolve specific challenges that providers may encounter during the enrollment and contracting process, regardless of payer type.

Qualifications:

  • Minimum of 3 years' experience in healthcare administration, with specific experience in payer enrollment and provider contracting across Commercial, Medicare, and/or Medicaid.

  • Demonstrated expertise in filling out payer applications with a high degree of accuracy and compliance.

  • Excellent communication and interpersonal skills, capable of managing sensitive provider relationships and complex contract negotiations.

 

FTE Only Benefits and Pay

Our headquarters are located in New York City, and we value cross-team collaboration and in-person connection. We encourage participation from all team members—great ideas can come from anywhere. While we take our mission seriously, we don’t take ourselves too seriously. We host offsites, outings, and team meals to stay connected as people. We offer office lunch, a fully stocked snack bar, and an in-office culture.

We provide competitive base compensation along with stock options. The expected annual salary range for this role posted is depends on experience and interview performance. We offer fully paid health and dental coverage, plus vision insurance, premium primary and urgent care memberships, online health providers, unlimited PTO (“take what you need”), seven paid holidays, and a company-wide winter break.

EEO Statement

Assured is an equal opportunity employer committed to diversity and inclusion. We prohibit discrimination and harassment based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic under federal, state, or local laws.

This policy applies to all employment practices, including hiring, promotion, termination, compensation, benefits, training, and apprenticeships. Assured bases hiring decisions solely on qualifications, merit, and business needs.

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