Revenue Cycle Facility Payor Enrollments Specialist

Where You’ll Work

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Job Summary and Responsibilities

This system role is responsible for supporting the coordination and execution of facility governmental payor enrollments for these related health plans.Responsibilities include the review, analysis, coordination, and submission of enrollment data required for all CommonSpirit Health facilities and providers. This role ensures that enrollment processes are completed accurately, timely, and in compliance with varying payor requirements.While the primary focus is on facility-level enrollments, this role may also support individual provider enrollments as needed to ensure continuity of operations and reimbursement.

• Coordinate and execute facility payor enrollments for all governmental payors, including Medicare, Medicaid, and related health plans.
• Collect, review, and validate required enrollment data to ensure accuracy, completeness, and compliance with payor-specific requirements.
• Prepare and submit enrollment applications and supporting documentation through both manual and electronic processes.
• Work closely with facility leadership, operational teams, and third-party vendors to gather and verify enrollment information in a timely manner
• Submit applications to designated Authorized/Delegated Officials for review and approval in accordance with internal policies.
• Collaborate with governmental contractor payors to resolve deficiencies, respond to requests, and follow up on enrollment status.

Job Requirements

Required

• Bachelors Other Bachelor Admin degree in Finance, Accounting or Finance concentration helpful but not required
• One to Three (1-3) years
• Minimum of two (2) years of current progressive experience in a healthcare environment, with government enrollments background.