Payer Connectivity & Enrollment Specialist

WellSky; Overland Park (KS); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Excellent medical coverage

Dental & vision

Mental Health support

Paid time off + holidays

401K retirement plan

Education assistance

Job summary

WellSky is seeking a Program Coordinator - Payer Connectivity to support program initiatives and serve as the organization’s SME for payer setup, enrollment, EDI connectivity, and payer architecture across multiple EHR and revenue cycle platforms.

The role coordinates the end-to-end payer ecosystem supporting electronic claims, ERA, and related transactions. Onsite at WellSky World Headquarters in Overland Park, KS, with a focus on HIPAA compliance and payer governance.

Qualifications

• Bachelor's Degree or equivalent work experience.
• 3-5 years of relevant work experience.
• Direct experience with payer enrollment, EDI transactions, clearinghouse operations, and payer connectivity.
• Familiarity with process mapping and documentation tools.
• Strong working knowledge of Medicare, Medicaid and Commercial Payers.
• Knowledge of healthcare EDI transactions (837, 835, 277CA, 999, 270/271).

Responsibilities

• Own payer setup, configuration, enrollment, and maintenance across systems.
• Manage electronic claims, ERA, EFT, and trading partner enrollments.
• Support payer onboarding, EDI testing, connectivity validation, and issue resolution.
• Serve as the primary liaison for payer and clearinghouse relationships.
• Partner with cross-functional teams to optimize payer workflows and claims processing.
• Investigate enrollment, connectivity, and claims issues; perform root cause analysis.
• Maintain payer configurations, reporting, and system documentation.
• Ensure compliance with HIPAA, CMS, state, and payer requirements; maintain SOPs and audit-ready documentation.

Skills

Payer enrollment

EDI transactions

Payer connectivity

Clearinghouse operations

Process mapping

Education

Bachelor's degree or equivalent

Job description

WellSky is seeking a Program Coordinator - Payer Connectivity to support program initiatives and serve as the organization’s SME for payer setup, enrollment, EDI connectivity, and payer architecture across multiple EHR and revenue cycle platforms.

The role coordinates the end-to-end payer ecosystem supporting electronic claims, ERA, and related transactions. Onsite at WellSky World Headquarters in Overland Park, KS, with a focus on HIPAA compliance and payer governance.