Fully Remote Payor Enrollment Analyst

Insight Global; United States; À distance; USD 24 796 - 27 552; Plein temps

Résumé du poste

A staffing and consulting firm is seeking a Contract Payer Enrollment Specialist to handle enrollment applications for clients. This remote role demands a strong understanding of Medicare and Medicaid processes, with a focus on accuracy and detail. Candidates with relevant experience are preferred. The position is full-time with responsibilities including collaboration with teams to ensure timely submissions and adherence to requirements.

Qualifications

• Strong understanding of Medicare and Medicaid payer enrollment processes.
• High degree of accuracy and attention to detail is required.
• Experience with submission of enrollment applications is essential.

Responsabilités

• Submit provider and group enrollment applications accurately and on time.
• Maintain and understand payer-specific enrollment requirements.
• Collaborate with internal teams and vendors to resolve issues.

Connaissances

Understanding of Medicare and Medicaid enrollment processes

Attention to detail

Ability to work in a fast-paced environment

Experience with provider and group enrollment applications

Description du poste

Overview

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This range is provided by Insight Global. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$18.00/hr - $20.00/hr

Location: 100% Remote

Pay Range: $18-$20

Responsibilities

• The Contract Payer Enrollment Specialist is responsible for the accurate and timely submission of provider and group enrollment applications across multiple health plans on behalf of clients. This role focuses primarily on application submission, with occasional follow-up or completion of requests as needed.
• Prepare and submit provider and group enrollment applications accurately and within established SLAs.
• Maintain an in-depth understanding of payer-specific enrollment requirements, including prerequisites, required forms, completion standards, supporting documentation (e.g., DEA certificates, CVs), and applicable regulations.
• Ensure all necessary supporting documentation is accurately maintained in provider profiles, including onboarding documents, application copies, welcome letters, and other related correspondence.
• Collaborate closely with internal teams, vendors, and payers to resolve issues or obtain missing documentation.
• Manage assigned workloads efficiently while ensuring compliance, accuracy, and timely turnaround.
• Proactively flag barriers or issues in enrollment processing and work with leads to identify solutions.
• Assist across clients and payer lines as needed, demonstrating flexibility and adaptability.
• Perform other duties and responsibilities as assigned.

Qualifications

• The ideal candidate will possess a strong understanding of both Medicare and Medicaid payer enrollment processes — candidates without experience in either program will not be considered.
• This position requires a high degree of accuracy, attention to detail, and the ability to pivot quickly in a fast-paced, team-oriented environment.
• Experience with accurate and timely submission of provider and group enrollment applications across multiple health plans.

Seniority level

Associate

Employment type

Full-time

Job function

Health Care Provider and Administrative

Industries

Hospitals and Health Care