Payer Enrollment & Compliance Expert

Guidehouse; Washington (District of Columbia); On-site; USD 35,000 - 58,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Parental Leave

Job summary

Guidehouse is seeking a Payer Enrollment Specialist in the Washington, DC area to manage provider enrollment with major insurance vendors. You will ensure timely enrollment, maintain accurate records, and collaborate with the credentialing team on updates and terminations.

The role requires 1-3+ years in office or healthcare settings, with experience in payer enrollment and MD-Staff. Competitive benefits and a clear career path are offered.

Qualifications

• High School Diploma or GED required; equivalent experience accepted.
• 1-3+ years in office, administrative, healthcare or related roles.
• Operational experience with payer enrollment software such as MD-Staff.
• Experience with delegated roster management for insurance payers.

Responsibilities

• Prepare and manage payer enrollment applications for initial enrollment and re-enrollment.
• Coordinate with payers to keep provider enrollment records current for government and commercial payers.
• Develop monthly delegated provider rosters and ensure provider status accuracy.
• Collaborate with credentialing to update enrollments and terminations as needed.
• Enter and maintain provider data in enrollment systems and generate status reports.

Skills

Customer service

Office operations

Healthcare knowledge

Education

High School Diploma / GED or equivalent

Tools

MD-Staff

Job description

Guidehouse is seeking a Payer Enrollment Specialist in the Washington, DC area to manage provider enrollment with major insurance vendors. You will ensure timely enrollment, maintain accurate records, and collaborate with the credentialing team on updates and terminations.

The role requires 1-3+ years in office or healthcare settings, with experience in payer enrollment and MD-Staff. Competitive benefits and a clear career path are offered.